Individual provider Active NPI

Oanh Nguyen, PA

  • Physician Assistant
  • Kenner, LA
National Provider Identifier
1932583291
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200859 Issued in LA
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

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2400118MedicaidLA
06631011MedicaidMS

Other names 1

  • Jackie Nguyen Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000031 LA Practitioner - Physician Assistant 9234446808 Reassigns benefits to 4 organizations

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
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Fast Aid Urgent Care- Belle ChasseGroup PAC ID 4284168014, 7 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 15, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince May 15, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.