JUSTIN NGUYEN (NPI# 1013550623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013550623 |
| Entity Type | Individual |
| Full Name | JUSTIN NGUYEN |
| Credential | PA-C |
| Practice Address |
707 S Grady Way Ste 600 Renton WA 98057-3227 |
| Practice Telephone | 2068231004 |
| Practice Fax Number | 2063093319 |
| Mailing Telephone | 2068231004 |
| Mailing Fax Number | 2063093319 |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535992 | Justin Nguyen | Pharmacist | 3502 Route 9, Howell, NJ 07731-3345 | 2019-08-30 |
| 1962009688 | Justin Nguyen | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-10-06 |
| 1033721063 | Justin Tuan-anh Nguyen | Optometrist | 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914-4521 | 2020-08-20 |
| 1831717685 | Justin Nguyen | Student in an Organized Health Care Education/Training Program | 1266 14th St, Oakland, CA 94607-2247 | 2020-07-08 |
| 1659909000 | Justin Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-31 |
| 1093205478 | Justin Van Minh Nguyen | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2018-05-11 |
| 1811412679 | Justin Nguyen | Pharmacist | 555 E Calaveras Blvd, Milpitas, CA 95035-7704 | 2017-08-13 |
| 1639599376 | Justin Lee Nguyen | Dentist | 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840 | 2014-04-21 |
| 1881930360 | Justin Nguyen | Psychiatry & Neurology | 1941 East Rd, Houston, TX 77054 | 2013-01-02 |
| 1720077241 | Justin Nguyen | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-18 |
| Street Address |
707 S GRADY WAY STE 600 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801817465 | Ronald Schubert | Family Medicine | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2006-07-21 |
| 1902422918 | Ashley Nicole Davis | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-06-25 |
| 1649819087 | Courtney Redus Rowland | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-01-02 |
| 1508404252 | Alison Rae Conner/donaldson | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-12-12 |
| 1093351447 | Dawda Cham | Registered Nurse | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-11-20 |
| 1740824861 | Kyle Trevor Mcgovern | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-31 |
| 1104460401 | Conrad Sheary | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-30 |
| 1346883378 | Katie Kern Pmhnp | Psychiatry & Neurology | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-22 |
| 1437791662 | Brittney Andrea Harris | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-09 |
| 1679121966 | Omar M Saine | Registered Nurse | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998926 | John William Nickens | Physician Assistant | 2223 Benson Rd S Apt D202, Renton, WA 98055-4339 | 2019-08-20 |
| 1013428739 | Francisco Barrera | Physician Assistant | 1412 Sw 43rd St Ste 140, Renton, WA 98057-4803 | 2017-10-20 |
| 1144613589 | Adrian Hagan | Physician Assistant | 4126 Ne 5th St, Renton, WA 98059-4708 | 2015-03-10 |
| 1023217981 | Jennifer Lynn Pinson | Physician Assistant | 350 S 38th Ct Ste 115, Renton, WA 98055-5777 | 2007-07-12 |
| 1366061079 | Erin Leigh Bennett | Physician Assistant | 17722 Talbot Rd S, Renton, WA 98055-5744 | 2020-04-13 |
| 1740824861 | Kyle Trevor Mcgovern | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-31 |
| 1104460401 | Conrad Sheary | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-30 |
| 1144886219 | Abbey Sattler | Physician Assistant | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2019-05-14 |
| 1710458559 | Trevor Romo | Physician Assistant | 3915 Talbot Rd S, Renton, WA 98055-5738 | 2018-12-05 |
| 1639646128 | Samantha Rachelle Halela | Physician Assistant | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2018-11-01 |
| Find all providers in RENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.