Individual provider Active NPI

Lyna Phuong Nguyen, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1841020203
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1169618 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-3442
Phone
(214) 645-6187
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1169618 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-3442

Mailing address

22 Prestige Cir Ste 300
Allen, TX 75002-3442
Phone (214) 383-3200

Other practice location 1

22 Prestige Cir Ste 300
Allen, TX 75002-3442
Phone (214) 383-3200

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
I20241111003807 TX Practitioner - Nurse Practitioner 9638603855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1430 Empire Central Dr
Dallas, TX 75247-4032
Phone (214) 645-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1169618TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Beacon Behavioral of Texas PA CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 9, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 9, 2025 Accepting new patients

Locations

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

22 Prestige Cir
Ste 300
Allen, TX 75002
Phone (214) 383-3200

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

1430 Empire Central Dr
Dallas, TX 75247
Phone (214) 645-8500

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1841020203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIR STE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023442",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753903442",
            "telephone_number": "214-645-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Prestige Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750023442",
            "country_code": "US",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LYNA",
        "middle_name": "PHUONG",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1169618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.