Active NPI
Khoa Dang Nguyen Sr., LPN
- Licensed Practical Nurse
- Kent, WA
National Provider Identifier
1871060988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP.60861815
- Practice address
- 21851 84TH Ave S Ste 101
Kent, WA 98032-1958 - Phone
- (425) 947-2462
- NPI assigned
- Oct 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP.60861815 | WA | Primary |
Addresses
Primary practice location
21851 84TH Ave S Ste 101
Kent, WA 98032-1958
Mailing address
5106 S Garden Loop Rd
Seattle, WA 98118-5700
Phone (360) 918-2968
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP.60861815 | WA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc. | Past | Accepting new patients | |
| WCHS, Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1871060988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5106 S GARDEN LOOP RD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981185700",
"telephone_number": "360-918-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21851 84TH AVE S STE 101",
"city": "KENT",
"state": "WA",
"postal_code": "980321958",
"telephone_number": "425-947-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOA",
"middle_name": "DANG",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP.60861815",
"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 Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.