MRS. LAN NGOC NGUYEN (NPI# 1326472002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326472002 |
| Entity Type | Individual |
| Full Name | MRS. LAN NGOC NGUYEN |
| Credential | FNP/APRN |
| Practice Address |
80 Phoenix Ave Waterbury CT 06702-1418 |
| Practice Telephone | 2037568021 |
| Practice Fax Number | 2035969038 |
| Mailing Telephone | 2037568021 |
| Mailing Fax Number | 2035969038 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5463 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005463 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
5463 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 561230 | 01 |
| CT | 004236130 | 05 | |
| CT | ANTHEM BCBS | 1326472002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482894 | Lan Nancy Da Nguyen | Dentist | 7330 S Broadway Unit 300, Littleton, CO 80122-8016 | 2020-06-22 |
| 1396393260 | Lan Ngoc Nguyen | Technician | 24183 Ford Rd Apt 21, Porter, TX 77365-9537 | 2019-09-03 |
| 1366910481 | Lan Thuy-phan Nguyen | Pharmacist | 9634 Broken Oak Blvd, Jacksonville, FL 32257-8815 | 2018-11-06 |
| 1811473713 | Lan T Nguyen | Pharmacist | 48 Plaza Ninety-four Dr., St. Peters, MO 63376-6337 | 2018-07-13 |
| 1639547466 | Lan Hong Nguyen | Dentist | 14545 Fruitvale Ave, Saratoga, CA 95070-6134 | 2015-09-10 |
| 1235418237 | Lan A Nguyen | Chiropractor | 918 W Southmore Ave Ste 100, Pasadena, TX 77502-1020 | 2011-08-08 |
| 1265753040 | Lan T. Nguyen | Internal Medicine | 46-006 Nana Pl, Kaneohe, HI 96744-3644 | 2010-06-16 |
| 1568615870 | Lan Mai Nguyen | Dentist | 2235 Carter Dr Ste 109, Arlington, TX 76010-0213 | 2008-10-30 |
| 1336331396 | Lan Quynci Nguyen | Dentist | 23182 El Toro Frontage Road, Lake Forest, CA 92630 | 2007-08-14 |
| 1447476296 | Lan T Nguyen | Dentist | 1728 Hostetter Rd Ste 50, San Jose, CA 95131-3312 | 2007-04-18 |
| Street Address |
80 PHOENIX AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756902 | Michael Bass | Dentist | 80 Phoenix Ave, Suite #102, Waterbury, CT 06702-1418 | 2005-08-09 |
| 1356996920 | Raeven B Keene | Dental Hygienist | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-08-09 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1598239873 | Ashley Corso | Dental Hygienist | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-01-19 |
| 1326510801 | Monica Rose Depaolo | Dental Hygienist | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2018-12-21 |
| 1023536232 | Courtney Dowen | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2017-09-07 |
| 1851834147 | Lindsey Maloney | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2016-11-18 |
| 1063864346 | Miguel Mantilla | Internal Medicine | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2016-07-11 |
| 1124477518 | George Gogas | Social Worker | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2016-06-07 |
| 1649626300 | Irene Maturo | Dental Hygienist | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972964 | Geeta Sharma | Nurse Practitioner | 1389 W Main St Ste 224, Waterbury, CT 06708-3104 | 2019-10-03 |
| 1255972022 | Naugatuck Valley Counseling and Med Management | Nurse Practitioner | 276 Highland Ave Ste 2, Waterbury, CT 06708-3022 | 2019-10-03 |
| 1598318206 | Kirsten P. Fitzgerald | Nurse Practitioner | 21 W Main St Fl Place3, Waterbury, CT 06702-2013 | 2019-07-22 |
| 1346749884 | Novelyn Culbengan Cosmiano | Nurse Practitioner | 276 Highland Ave Ste 2a1, Waterbury, CT 06708-3022 | 2018-02-11 |
| 1437508264 | Faith Hudson | Nurse Practitioner | 68 Alyce Ter, Waterbury, CT 06708-1567 | 2016-06-13 |
| 1821405127 | Brandon Pervis Sr. | Nurse Practitioner | 558 Chase Ave Ste 9, Waterbury, CT 06704-1947 | 2014-07-18 |
| 1104114149 | Olubukola Awe | Nurse Practitioner | 140 Grandview Ave Ste L01, Waterbury, CT 06708-2500 | 2011-07-12 |
| 1912909524 | Eileen Pond Levine | Nurse Practitioner | 455 Chase Pkwy Fl 3, Waterbury Hospital, Waterbury, CT 06708-3352 | 2005-08-12 |
| 1992706832 | Christina Baden | Nurse Practitioner | 77 Woodlawn Ter, Waterbury, CT 06710-1721 | 2005-08-02 |
| 1124663653 | Adrienne T Lofton | Nurse Practitioner | 133 Scovill St Ste 101, Waterbury, CT 06706-1127 | 2019-11-07 |
| Find all providers in WATERBURY | ||||
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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.