Van Thy Nguyen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1008914 Issued in TX

Practice address

911 23Rd St
Canyon, TX 79015-4645

Phone

(806) 655-2104

NPI assigned

Aug 15, 2020

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: van.nguyen.1@33715.direct.athenahealth.com
• Direct secure messaging: van.nguyen@3932.securemail.prognocis.com

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.

• FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1104255272

  Family, TX

  Medicare reassignment Care Compare group NPD
• Act Physician Group, P.a.

  • Primary Care Clinic/Center
  • Amarillo, TX
  • NPI 1508051293

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1861003592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 SW 61ST AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791188308",
            "telephone_number": "806-317-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "middle_name": "THY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-15",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Nicole Morrison, LMSW
• Janet Munzinger, RDH
• Joel Muth
• Nancy Hinders DC PA
• Devin Neill, MS, LAT, ATC
• Northwest Texas Healthcare System Inc
• Lee Ann Nuckols, LPC
• O&W Surgical PLLC
• O&W Surgical PLLC
• April Oliver, FNP-C

• All providers in Canyon, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.