Active NPI
Ly Thiai Hoang, MSN, APRN, NP-C
- Family Nurse Practitioner
- Bastrop, TX
National Provider Identifier
1871904557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125663
- Practice address
- 102 Commercial Dr
Bastrop, TX 78602-4616 - Phone
- (512) 985-6359
- Fax
- (209) 885-6359
- NPI assigned
- May 15, 2014
- Last updated
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125663 | TX | Primary |
Addresses
Primary practice location
102 Commercial Dr
Bastrop, TX 78602-4616
Mailing address
102 Commercial Drive
Bastrop, TX 78602-4616
Phone (512) 985-6359
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151029000493 | TX | Order and Referring Only - Nurse Practitioner | 1052620200 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1871904557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 COMMERCIAL DRIVE",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024616",
"telephone_number": "512-985-6359",
"fax_number": "866-216-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COMMERCIAL DR",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024616",
"telephone_number": "512-985-6359",
"fax_number": "209-885-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "LY",
"middle_name": "THIAI",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.