Individual provider Active NPI

Tiffany Ngoc Tran, NP

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1881554152
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1077122 Issued in TX
Practice address
3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Phone
(469) 842-7392
Fax
(469) 842-7438
NPI assigned
Nov 17, 2025
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1077122 TX Primary

Addresses

Primary practice location

3009 E Renner Rd Ste 100
Richardson, TX 75082-3572

Mailing address

2322 Greenfield Cir
Garland, TX 75040-2859
Phone (206) 359-0599

Other practice location 1

1308 Village Creek Dr Ste 2000
Plano, TX 75093-4464
Phone (469) 842-7392

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112002089 TX Practitioner - Nurse Practitioner 4587140389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
360 Pain and Spine PLLCGroup PAC ID 6103247598, 4 clinicians

Practice addresses (Care Compare)

3009 E Renner Rd
Suite 100
Richardson, TX 75082-3572
Phone (469) 589-1871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1077122TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
360 Pain and Spine PLLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

1308 Village Creek Dr
Ste 2000
Plano, TX 75093
Phone (469) 589-1871

3009 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (469) 589-1871

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21996/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1881554152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 GREENFIELD CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402859",
            "telephone_number": "206-359-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 E RENNER RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823572",
            "telephone_number": "469-842-7392",
            "fax_number": "469-842-7438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Village Creek Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934464",
            "country_code": "US",
            "telephone_number": "469-842-7392",
            "fax_number": "469-842-7438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TIFFANY",
        "middle_name": "NGOC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1077122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.