Khanh Ngan Thi Nguyen

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202815 Issued in MN

Practice address

5500 Boone Ave N
New Hope, MN 55428-3629

Phone

(763) 592-3000

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1831963917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 YELLOW PINE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484028",
            "telephone_number": "763-291-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BOONE AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283629",
            "telephone_number": "763-592-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANH",
        "middle_name": "NGAN THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope Alf Operator LLC
• New Hope Dialysis LLC (New Hope Dialysis Center)
• New Hope Operator LLC
• New Life Global LLC (New Life Health Service)
• Newhope Dental PA
• Larry Nguyen
• Nicollet Family Dentistry (Dentures ASAP South)
• Farah Ahamed Noorani, LICSW
• North Ridge Adult Day Care LLC
• North Ridge Skilled LLC

• Occupational Therapy Assistant in New Hope, MN
• Providers in New Hope, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.