Individual provider Active NPI

Newton Sammy Nguyo, LPN

  • Licensed Vocational Nurse
  • Kent, WA
National Provider Identifier
1861965287
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
60909033 Issued in WA
Practice address
6312 S 239TH St Apt N301
Kent, WA 98032-3805
Phone
(903) 422-0148
Fax
(903) 422-0148
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X 60909033 WA Primary

Addresses

Primary practice location

6312 S 239TH St Apt N301
Kent, WA 98032-3805

Mailing address

6312 S 239TH St Apt N301
Kent, WA 98032-3805
Phone (903) 422-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60909033WAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1861965287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 S 239TH ST APT N301",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323805",
            "telephone_number": "903-422-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 S 239TH ST APT N301",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323805",
            "telephone_number": "903-422-0148",
            "fax_number": "903-422-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYO",
        "first_name": "NEWTON",
        "middle_name": "SAMMY",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "60909033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.