Individual provider Active NPI

Emily Nguyen, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1902528391
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16205 Issued in TX
Practice address
12800 Preston Rd Ste 201
Dallas, TX 75230-1368
Phone
(214) 792-9910
Fax
(972) 503-2783
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA16205 TX Primary

Addresses

Primary practice location

12800 Preston Rd Ste 201
Dallas, TX 75230-1368

Mailing address

12800 Preston Rd Ste 201
Dallas, TX 75230-1368
Phone (214) 792-9910

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
I20221101003079 TX Practitioner - Physician Assistant 6406223668 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Center at Texas Neurology CurrentSince Dec 5, 2022 Accepting new patients

Locations

6080 N Central Expy
Ste 100
Dallas, TX 75206
Phone (214) 827-3610

2821 George Bush Hwy
Ste 303
Richardson, TX 75082
Phone (214) 540-1400

Interoperability endpoints

  • Direct secure messaging: emily.nguyen.1@31385.direct.athenahealth.com

Organizations & group practices 3

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902528391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301368",
            "telephone_number": "214-792-9910",
            "fax_number": "214-792-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301368",
            "telephone_number": "214-792-9910",
            "fax_number": "972-503-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA16205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.