Victoria Thuy-Viet Phan, BS , MT , ASCP , NCA

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

04125692 Issued in NC

Practice address

109 Wrenn Dr Apt a
Cary, NC 27511-5316

Phone

(919) 608-4725

NPI assigned

Dec 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Thuy-Viet Hoang Phan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Medical Technician

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1992034722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WRENN DR APT A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115316",
            "telephone_number": "919-608-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WRENN DR APT A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115316",
            "telephone_number": "919-608-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VICTORIA",
        "middle_name": "THUY-VIET",
        "name_prefix": "Ms.",
        "credential": "BS , MT , ASCP , NCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NC",
            "license": "04125692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASCP",
            "identifier": "04125692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUY-VIET",
            "last_name": "PHAN",
            "middle_name": "HOANG",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Pettigrew, M.ED. CCC-SLP
• Autumn Petty, RBT
• Jonathan Gerard Pfeifer
• Benjamin Pham
• Cindy Pham
• Pharmacync
• Emily Phaup, MA, BCBA
• Caitlin Marie Phelps
• Nicole Phelps, PHARMD
• Samantha Nicole Phelps

• Medical Technologist in Cary, NC
• Providers in Cary, NC by specialty
• Medical Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.