Active NPI
Oanh Nguyen, PA
- Physician Assistant
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200859
- Practice address
- 3715 Williams Blvd
Suite #100
Kenner, LA 70065-3075 - Phone
- (504) 464-4550
- Fax
- (504) 465-8590
- NPI assigned
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.200859 | LA | |
| Physician Assistant | 363A00000X | PA.200859 | LA | Primary |
Addresses
Primary practice location
3715 Williams Blvd
Suite #100
Kenner, LA 70065-3075
Mailing address
2104 Gause Blvd W
Suite a
Slidell, LA 70460-4130
Phone (985) 643-4575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2400118 | Medicaid | LA | |
| 06631011 | Medicaid | MS |
Other names 1
- Jackie Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 C Robert E Lee Blvd
New Orleans, LA 70124-2534
Phone (504) 286-2004
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
1625 Barataria Blvd
Suite a
Marrero, LA 70072-4308
Phone (504) 309-5015
2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Phone (504) 838-3524
3417 Williams Blvd
Kenner, LA 70065-3725
Phone (504) 461-9660
4100 Canal St
New Orleans, LA 70119-5941
Phone (504) 831-3112
71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534
8732 Hwy 23
Suite a
Belle Chasse, LA 70037-2228
Phone (504) 300-8003
900 Magazine St
New Orleans, LA 70130-3814
Phone (504) 552-2433
9605 Jefferson Hwy
River Ridge, LA 70123-2550
Phone (504) 739-9494
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Giambelluca Medical Clinic LLC | Past | Accepting new patients | |
| Shapiro Dimitri Medical, LLC | Past | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660
4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- onguyen197744@direct.ochsner.org
Organizations & group practices 8
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Urgent Care Clinic/Center
- Belle Chasse, LA
- NPI 1558049163
-
- Dermatology Physician
- Slidell, LA
- NPI 1821285974
-
- Urgent Care Clinic/Center
- Dripping Springs, TX
- NPI 1588353130
LA
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Harahan, LA
- NPI 1245774926
-
- Family Medicine Physician
- Belle Chasse, LA
- NPI 1548650831
-
- Dermatology Physician
- Meridian, MS
- NPI 1124373030
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1932583291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 GAUSE BLVD W",
"address_2": "SUITE A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704604130",
"telephone_number": "985-643-4575",
"fax_number": "504-643-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 WILLIAMS BLVD",
"address_2": "SUITE #100",
"city": "KENNER",
"state": "LA",
"postal_code": "700653075",
"telephone_number": "504-464-4550",
"fax_number": "504-465-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "OANH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "PA.200859",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2400118",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06631011",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACKIE",
"last_name": "NGUYEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.