Individual provider Active NPI

Huong Nguyen, M.D

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1861784183
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.207178 Issued in LA
Practice address
1308 Williams Blvd
Kenner, LA 70062-6508
Phone
(504) 463-2200
Fax
(504) 463-2225
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD.207178 LA Primary

Addresses

Primary practice location

1308 Williams Blvd
Kenner, LA 70062-6508

Mailing address

3301 W Esplanade Ave N
Apt 19307
Metairie, LA 70002-2600
Phone (347) 437-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014002154 LA Practitioner - Family Practice 0143441261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.207178LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quynh Mai Clinic LLC Family Medicine CurrentSince Aug 4, 2014 Accepting new patients

Locations

705 W Esplanade Ave
Ste A
Kenner, LA 70065
Phone (504) 465-0185

Organizations & group practices 1

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1861784183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W ESPLANADE AVE N",
            "address_2": "APT 19307",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700022600",
            "telephone_number": "347-437-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626508",
            "telephone_number": "504-463-2200",
            "fax_number": "504-463-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.207178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.