Individual provider Active NPI

Anh Duc Nguyen, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1801522404
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1032830 Issued in TX
Practice address
5900 Balcones Dr
Austin, TX 78731-4257
Phone
(972) 322-0278
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1032830 TX Primary

Addresses

Primary practice location

5900 Balcones Dr
Austin, TX 78731-4257

Mailing address

2506 Rodeo CT
Garland, TX 75044-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828001389 TX Practitioner - Nurse Practitioner 4688113137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite 833
Dallas, TX 75230-2571
Phone (972) 566-4591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1032830TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince Jun 15, 2024 Accepting new patients
Joel a. Holiner, MD PA PastSince Jul 1, 1998 Accepting new patients

Locations

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591

7777 Forest Ln
Ste C833
Dallas, TX 75230
Phone (972) 566-4591

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

Interoperability endpoints

  • Direct secure messaging: anh.nguyen.1@17617.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1801522404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 RODEO CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750444696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "972-322-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH",
        "middle_name": "DUC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1032830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.