Individual provider Active NPI

Tien Nguyen

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1942928544
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
281070 Issued in AZ
Practice address
727 E Bethany Home Rd
Phoenix, AZ 85014-2198
Phone
(602) 628-5673
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 281070 AZ Primary

Addresses

Primary practice location

727 E Bethany Home Rd
Phoenix, AZ 85014-2198

Mailing address

1123 W Alta Vista Rd
Phoenix, AZ 85041-5656
Phone (602) 628-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20231227002381 AZ Practitioner - Nurse Practitioner 0941650329 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281070AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Wellness Az LLC CurrentSince Sep 1, 2025 Accepting new patients
Phoenician Medical Center, Inc CurrentSince May 15, 2026 Accepting new patients
Michael F Esber DPM PC CurrentSince Sep 1, 2025 Accepting new patients
Progressive Pain Management Inc CurrentSince Sep 1, 2025 Accepting new patients
Bmi423I CurrentSince Sep 1, 2025 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Sep 1, 2025 Accepting new patients
Gregg Krahn DPM PC Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Arizona Family Clinics Corp PastSince Jan 29, 2023 Accepting new patients
Floyd I Miller DPM PC Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

16390 N 59th Ave
Glendale, AZ 85306

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333

2224 W Northern Ave
Ste B202
Phoenix, AZ 85021

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

202 E Earll Dr
Ste 306
Phoenix, AZ 85012

2330 N 75th Ave
Ste 108
Phoenix, AZ 85035
Phone (623) 247-5700

5060 N 19th Ave
Ste 317
Phoenix, AZ 85015
Phone (602) 904-0088

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Organizations & group practices 12

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1942928544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 W ALTA VISTA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415656",
            "telephone_number": "602-628-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142198",
            "telephone_number": "602-628-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "281070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.