STEPHANIE CHAN NGUYEN (NPI# 1316257314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316257314 |
| Entity Type | Individual |
| Full Name | STEPHANIE CHAN NGUYEN |
| Practice Address |
621 Sw Johnson Ave Ste C Burleson TX 76028-5834 |
| Practice Telephone | 8177667421 |
| Practice Fax Number | 8174478100 |
| Mailing Telephone | 8177667421 |
| Mailing Fax Number | 8174478100 |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06983 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595547 | Stephanie Nguyen | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd Professional Office Building 2, Dallas, TX 75390-0001 | 2018-04-09 |
| 1629366513 | Stephanie Nguyen | Optometrist | 1 Infinite Loop, Cupertino, CA 95014-2083 | 2011-07-13 |
| 1669789830 | Stephanie Flake Nguyen | Occupational Therapist | 32780 Hemingway Ave, Denham Springs, LA 70706-2012 | 2010-09-08 |
| 1912191073 | Stephanie Truc Nguyen | Dentist | 145 E 19th St, Costa Mesa, CA 92627-2861 | 2007-08-31 |
| 1952424004 | Stephanie Tram Anh Nguyen | Pediatrics | 2516 Stockton Blvd., U.c. David Medical Center, Sacramento, CA 95817 | 2007-04-06 |
| 1447376462 | Stephanie Nguyen | Dentist | 14391 Penasquitos Dr, Suite A, San Diego, CA 92129-1612 | 2007-03-21 |
| 1083239784 | Stephanie Thuy-nhien Nguyen | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1659910693 | Stephanie Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2019-12-21 |
| 1548812621 | Stephanie Nguyen | Physician Assistant | 3501 Jamboree Rd Ste 1250, Newport Beach, CA 92660-2939 | 2019-07-10 |
| 1386205300 | Stephanie Nguyen | Marriage & Family Therapist | 505 N Euclid St Ste 300, Anaheim, CA 92801-5514 | 2019-06-21 |
| Street Address |
621 SW JOHNSON AVE STE C |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554443 | Redemptive Soul Care--a Ministry of Redemption Evangelical Church | Community/Behavioral Health | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2010-03-17 |
| 1962878843 | Prestige Dermatology Pllc | Dermatology | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2015-08-14 |
| 1063820264 | G. Gregory Milini | Hearing Instrument Specialist | 621 Sw Johnson Ave, Ste A, Burleson, TX 76028-5833 | 2014-07-31 |
| 1215349311 | Donna Shemanne Nickerson | Social Worker | 621 Sw Johnson Ave, Burleson, TX 76028-5833 | 2014-05-22 |
| 1437561800 | Connect Hearing, Inc. | Audiologist | 621 Sw Johnson Ave, Ste A, Burleson, TX 76028-5833 | 2014-05-20 |
| 1154661874 | Leonia Stardehlia Golden | Counselor | 621 Sw Johnson Ave, Ste. C, Burleson, TX 76028-5833 | 2013-02-15 |
| 1407173230 | Ryan Pham | Dermatology | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124484043 | Kevin Barron | Physician Assistant | 1501 Sw Wilshire Blvd, Burleson, TX 76028-8715 | 2016-01-07 |
| 1386077360 | Sally Spann | Physician Assistant | 11803 South Fwy, Suite 110, Burleson, TX 76028-7012 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.