MIMI NGUYEN (NPI# 1780114074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780114074 |
| Entity Type | Individual |
| Full Name | MIMI NGUYEN |
| Credential | DO |
| Practice Address |
4212 W Congress St Ste 1600 Lafayette LA 70506-6767 |
| Mailing Address |
Po Box 919229 Dallas TX 75391-9229 |
| Practice Telephone | 3374561642 |
| Practice Fax Number | 3374564913 |
| Mailing Telephone | 3372898944 |
| Mailing Fax Number | 3375710010 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 324261 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1665 S Green St, Tupelo, MS 388046556 | 6623772189 | 6623772667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829128 | Mimi Nguyen | Pharmacist | 9962 Red Tail Hawk Way, Sacramento, CA 95829-9604 | 2020-10-21 |
| 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 |
| 1063754075 | Mimi Ngoc Nguyen | Family Medicine | 4040 S 188th St Ste 201, Seatac, WA 98188-5070 | 2013-03-18 |
| Street Address |
4212 W CONGRESS ST STE 1600 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| 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 |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1013471259 | Courtney Cobb | Family Medicine | 500 Juliette Pl, Lafayette, LA 70506-4571 | 2019-01-22 |
| 1538672993 | Pamela Rene Roeder | Family Medicine | 8196 N 1000 E, Lafayette, IN 47905-9742 | 2017-11-08 |
| 1790297935 | Diamond Medical Group | Family Medicine | 830 Park East Blvd, Lafayette, IN 47905-0778 | 2017-10-27 |
| 1679922249 | Lafayette Health Ventures, Inc | Family Medicine | 917 W Gloria Switch Road, Lafayette, LA 70507-2309 | 2016-06-06 |
| 1003278854 | Rebecca Lynn Currier Curran | Family Medicine | 2932 Ambassador Caffery Parkway, Lafayette, LA 70506 | 2016-03-22 |
| 1871989244 | Justin Matthew Pratt | Family Medicine | 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506 | 2015-04-12 |
| 1558761973 | A. Elaine Ashby, M.d., Inc. | Family Medicine | 3732 Mt Diablo Blvd Ste 385, Lafayette, CA 94549-3625 | 2014-09-04 |
| 1538402573 | Premier Urgent Care | Family Medicine | 307 Alcide Dominique Dr, Lafayette, LA 70506-1052 | 2013-03-28 |
| Find all providers in LAFAYETTE | ||||
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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.