Individual provider Active NPI

Vananh Thi Nguyen

  • Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1942913629
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11063 Issued in CT
Practice address
1030 Boulevard
West Hartford, CT 06119-1801
Phone
(860) 986-6440
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11063 CT Primary

Addresses

Primary practice location

1030 Boulevard
West Hartford, CT 06119-1801

Mailing address

1030 Boulevard
West Hartford, CT 06119-1801
Phone (860) 986-6440

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL API Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230224000720 CT Practitioner - Nurse Practitioner 8820460173 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 1, 2023 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 1, 2023 Accepting new patients
Wecare Health PLLC CurrentSince Aug 21, 2023 Accepting new patients
Yakima Neighborhood Health Services PastSince Jan 1, 2023 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

74 Newtown Rd
Danbury, CT 06810
Phone (203) 826-8434

96 Prospect Hill Rd
East Windsor, CT 06088
Phone (860) 253-2617

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

179 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 986-7600

1030 Boulevard
West Hartford, CT 06119
Phone (860) 986-6440

Organizations & group practices 7

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1942913629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191801",
            "telephone_number": "860-986-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191801",
            "telephone_number": "860-986-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VANANH",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "API",
            "affiliation": "N",
            "endpointDescription": "HTML",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 Boulevard",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061191801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.