Individual provider Active NPI

Viviane Baovuong Nguyen, RN, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972630424
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200600882622 Issued in TX
Practice address
14770 Memorial Dr
# 100
Houston, TX 77079-5252
Phone
(281) 977-8372
NPI assigned
Feb 28, 2007
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209007316 IL
Family Nurse Practitioner 363LF0000X 200600882622 TX Primary

Addresses

Primary practice location

14770 Memorial Dr
# 100
Houston, TX 77079-5252

Mailing address

14770 Memorial Dr
Ste 200
Houston, TX 77079-5238
Phone (866) 607-7334

Other identifiers 1

IdentifierTypeStateIssuer
8Y3607OtherTXBCBSTX

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
I20070807000409 TX Practitioner - Nurse Practitioner 8022109917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200600882622TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tasa, P.C. CurrentSince Feb 1, 2022 Accepting new patients
Healthy Access Inc Family Past Accepting new patients
Texas Alliance Medical Group, PA PastSince Mar 7, 2021 Accepting new patients

Locations

14755 North Fwy
Ste 400
Houston, TX 77090
Phone (281) 876-2500

14770 Memorial Dr
#100
Houston, TX 77079
Phone (281) 977-8365

14770 Memorial Dr
Ste 100
Houston, TX 77079
Phone (281) 496-7333

14770 Memorial Dr
Ste 20
Houston, TX 77079

14770 Memorial Dr
Ste 200
Houston, TX 77079
Phone (281) 493-5535

14770 Memorial Dr
Ste 220
Houston, TX 77079
Phone (281) 493-5535

6535 Southwest Fwy
Houston, TX 77074
Phone (713) 981-8184

6969 Gulf Fwy
Ste 370
Houston, TX 77087
Phone (713) 643-0600

Interoperability endpoints

  • Direct secure messaging: viviane.nguyen.1@12705.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1972630424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14770 MEMORIAL DR",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795238",
            "telephone_number": "866-607-7334",
            "fax_number": "713-358-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14770 MEMORIAL DR",
            "address_2": "# 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795252",
            "telephone_number": "281-977-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIANE",
        "middle_name": "BAOVUONG",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "200600882622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y3607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.