Active NPI
Thien T Nguyen
- Emergency Registered Nurse
- Camp Hill, PA
National Provider Identifier
1881356178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 95214089
- Practice address
- 30 Hunter LN
Camp Hill, PA 17011-2400 - Phone
- (800) 748-3243
- NPI assigned
- Oct 13, 2021
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 95214089 | CA | Primary |
Addresses
Primary practice location
30 Hunter LN
Camp Hill, PA 17011-2400
Mailing address
14401 Jeremiah St
Adelanto, CA 92301-4891
Phone (760) 617-7914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RiteAid |
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 |
|---|---|---|---|
| 95214089 | CA | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1881356178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14401 JEREMIAH ST",
"city": "ADELANTO",
"state": "CA",
"postal_code": "923014891",
"telephone_number": "760-617-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HUNTER LN",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112400",
"telephone_number": "800-748-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIEN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "95214089",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RiteAid",
"affiliation": "N",
"address_1": "30 Hunter Ln",
"city": "Camp Hill",
"state": "PA",
"country_code": "US",
"postal_code": "170112400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.