KELLY L NGUYEN (NPI# 1063883338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063883338 |
Entity Type | Individual |
Full Name | KELLY L NGUYEN |
Credential | APRN |
Practice Address |
13819 Hanson Blvd Nw Andover MN 55304-7608 |
Practice Telephone | 7633924001 |
Practice Fax Number | 7638622091 |
Mailing Telephone | 7633924001 |
Mailing Fax Number | 7638622091 |
Enumeration Date | 2015-10-13 |
Last Update Date | 2019-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6445 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009765 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100366930 | 05 | |
IN | 201332080 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508407412 | Kelly Nguyen | Physical Therapist | 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 | 2019-10-02 |
1982180493 | Kelly Nguyen | Dentist | 17781 Santiago Blvd, Orange, CA 92861-4134 | 2018-07-17 |
1427457472 | Kelly Nguyen | Pharmacist | 106 Lac Felicity Dr, Luling, LA 70070-4280 | 2014-08-15 |
1972787182 | Kelly Nguyen | Pharmacist | 1206 Buchanan Dr, Santa Clara, CA 95051-3963 | 2007-12-24 |
1922608025 | Kelly Trang Nguyen | Pharmacist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2020-10-28 |
1801410543 | Kelly Tram Anh Nguyen | Dentist | 5065 University Pkwy, Winston Salem, NC 27106-6083 | 2020-05-28 |
1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
1639634991 | Kelly Nguyen | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2019-01-31 |
1023589587 | Kelly Dam Nguyen | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2018-12-10 |
1699242693 | Kelly Kim Nguyen | Pharmacist | 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 | 2018-10-28 |
Street Address |
13819 HANSON BLVD NW |
City | ANDOVER |
State | MN |
Zip Code | 55304-7608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881656296 | David Robert Bachman | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2006-04-03 |
1457820912 | Jason Emold Nesler | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-11-14 |
1861999195 | Chee Lor | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-04-12 |
1073013181 | Stephanie Lynn Piche | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-02-15 |
1326402256 | Islam Zineldin | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-04-06 |
1124487624 | Joseph Aaron Gray Wilkie | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-02-12 |
1881017150 | Dana Thilges | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2014-01-22 |
1437581824 | Tiffany N Ling | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2013-08-07 |
1518244151 | Deborah Lynn Gerdes | Counselor | 13819 Hanson Blvd Nw, Andover, MN 55304 | 2011-11-10 |
1427349463 | Susan Pleasants | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2011-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
Find all providers in zip 55304 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
1114540705 | Marie-yacinthe Nowicki | Nurse Practitioner | 29 Dascomb Rd, Andover, MA 01810-5627 | 2020-05-18 |
1922520360 | Christine Repsha | Nurse Practitioner | 93 Main St Apt 1, Andover, MA 01810-3883 | 2017-07-07 |
1245776921 | Casey Leber | Nurse Practitioner | 30 Brady Loop, Andover, MA 01810-3224 | 2017-01-18 |
1821131749 | Elane Dorothy Lee | Nurse Practitioner | 57 River Rd, Andover, MA 01810-1144 | 2007-02-14 |
1902886849 | Jana Lynn Pierce | Nurse Practitioner | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2006-01-18 |
1114531258 | Jeffrey Keating | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2020-09-05 |
1356951008 | Katherine Marciano | Nurse Practitioner | 5 Oak St, Andover, MA 01810-5824 | 2020-08-07 |
1922617091 | Barbara Dwumfour Davis | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2020-07-24 |
1811544596 | Brianna Larson | Nurse Practitioner | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2019-08-19 |
Find all providers in ANDOVER |
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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.