DR. MIMI NGOC NGUYEN (NPI# 1063754075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754075 |
| Entity Type | Individual |
| Full Name | DR. MIMI NGOC NGUYEN |
| Credential | M.D. |
| Practice Address |
4040 S 188th St Ste 201 Seatac WA 98188-5070 |
| Mailing Address |
955 Powell Ave Sw Renton WA 98057-2908 |
| Practice Telephone | 4252777200 |
| Mailing Telephone | 4252771311 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60586377 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Madison St, Ste. 100, Seattle, WA 981041316 | 2063866197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829128 | Mimi Nguyen | Pharmacist | 9962 Red Tail Hawk Way, Sacramento, CA 95829-9604 | 2020-10-21 |
| 1780114074 | Mimi Nguyen | Family Medicine | 4212 W Congress St Ste 1600, Lafayette, LA 70506-6767 | 2017-06-19 |
| 1972744241 | Mimi Nguyen | Occupational Therapy Assistant | 131 Spring Lakes Hvn, Spring, TX 77373-4974 | 2009-03-17 |
| 1043401342 | Mimi Minh Trang Nguyen | Optometrist | 3290 Wild Pepper Ct, Deltona, FL 32725 | 2007-08-05 |
| 1952429904 | Mimi N. Nguyen | Dentist | 5832 Hubbard Dr, Rockville, MD 20852-4818 | 2007-03-27 |
| 1851415483 | Mimi Nguyen | Social Worker | 1665 W. Adams Blvd, Los Angeles, CA 90007-1533 | 2007-03-19 |
| 1649883224 | Mimi Nguyen | Social Worker | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-25 |
| 1770082943 | Mimi Nguyen | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2018-02-02 |
| 1962927830 | Mimi Vu Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2017-08-11 |
| 1871997817 | Mimi Nguyen | Pharmacist | 1406 Lake Tapps Pkwy E, Auburn, WA 98092-8154 | 2014-10-20 |
| Street Address |
4040 S 188TH ST STE 201 |
| City | SEATAC |
| State | WA |
| Zip Code | 98188-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224609 | Sara Anne Fleming | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2005-08-31 |
| 1679184634 | Nicole Lemos | Counselor | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2020-08-13 |
| 1124641451 | Hannah Strom | Counselor | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2020-05-21 |
| 1043858665 | Healthpoint | Pharmacy | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2019-12-13 |
| 1104358662 | Don Anselm Davis | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-04-03 |
| 1235661216 | Lindsey Youngquist | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-03-30 |
| 1669904900 | Lea Heller | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-03-28 |
| 1619322096 | Tona Ngoc Vu | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2016-05-04 |
| 1699120303 | Dane Nimako | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2016-05-01 |
| 1447629456 | Bothaina Mousa | Pharmacist | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2015-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224609 | Sara Anne Fleming | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2005-08-31 |
| 1104358662 | Don Anselm Davis | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-04-03 |
| 1235661216 | Lindsey Youngquist | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-03-30 |
| 1669904900 | Lea Heller | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2017-03-28 |
| 1619322096 | Tona Ngoc Vu | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2016-05-04 |
| 1699120303 | Dane Nimako | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2016-05-01 |
| 1790168243 | Aline Sengchannavong | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2015-07-01 |
| 1871973305 | An Thien Pham | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2015-05-29 |
| 1881081644 | Lamya Khoury | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2015-04-20 |
| 1265837181 | Nikhil Desai | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2014-11-04 |
| Find all providers in SEATAC | ||||
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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.