KIM NGUYEN (NPI# 1154953560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154953560 |
| Entity Type | Individual |
| Full Name | KIM NGUYEN |
| Credential | PA |
| Practice Address |
11 Nevins St Ste 201 Brighton MA 02135-3514 |
| Mailing Address |
40 Traveler St Apt 204 Boston MA 02118-2980 |
| Practice Telephone | 6177892442 |
| Practice Fax Number | 6172024349 |
| Mailing Telephone | 8572942023 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1063047678 | Kim Nguyen | Pharmacist | 91-919 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-2257 | 2020-03-04 |
| 1275059495 | Kim Nguyen | Pharmacist | 5305 W Buckeye Rd Ste B, Phoenix, AZ 85043-4727 | 2017-08-18 |
| 1225551377 | Kim Nguyen | Behavior Technician | 1819 Deauville Dr, Stockton, CA 95210-2285 | 2017-07-20 |
| 1649624107 | Kim Nguyen | Chiropractor | 4841 Birmingham Dr, San Jose, CA 95136-2907 | 2016-04-20 |
| 1548625767 | Kim Nguyen | Pharmacist | 4500 Truxel Rd Apt 124, Sacramento, CA 95834-3730 | 2015-12-15 |
| 1609262344 | Kim Thi Nguyen | Psychiatry & Neurology | 100 West Beaver Creek Blvd., Suite 208, Avon, CO 81620 | 2015-04-09 |
| 1245637248 | Kim Ngoc Nguyen | Physician Assistant | 4019 Royal Plantation Ln, Missouri City, TX 77459-2367 | 2014-11-20 |
| 1962808113 | Kim T Nguyen | Counselor | 63 West 119th Street, Apt 1, New York, NY 10026 | 2014-11-17 |
| 1427464692 | Kim Mai Nguyen | Optometrist | 1114 Silber Rd Ste C, Houston, TX 77055-7142 | 2014-07-08 |
| Street Address |
11 NEVINS ST STE 201 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366578098 | Claudius Conrad | Surgery | 11 Nevins St Ste 201, Brighton, MA 02135-3514 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212625 | Brittany Marie Fogarty | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-09-02 |
| 1578005286 | Westley A White | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-11 |
| 1861934549 | Stephanie J Laurer | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-10 |
| 1790126480 | Jessica Distefano | Physician Assistant | 11 Nevins St, Suite 306, Brighton, MA 02135-3514 | 2013-07-10 |
| 1912271313 | Christina H Danna | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2012-03-02 |
| 1356500912 | Christopher Ray Stuart | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2008-06-08 |
| 1346283694 | Christina M Linkiewicz | Physician Assistant | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIM NGUYEN.
| 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.