DR. LISA NGUYEN DO
NPI 1053055137
Student in an Organized Health Care Education/Training Program in Grandview, WA

Q: What is Lisa Nguyen's NPI number?

The NPI number for Lisa Nguyen is 1053055137. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Q: What is Lisa Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Nguyen was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2022PECOS Enrolled

1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 788-1702(509) 786-1022 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Lisa Nguyen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA NGUYEN DO (NPI 1053055137) is an individual student in an organized health care education/training program in Grandview, Washington and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053055137

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. LISA NGUYENCredential: DO

Location Address1000 WALLACE WAYGrandview, WA 98930-8805

Mailing Address1000 Wallace WayGrandview, WA 98930-8805 · (529) 788-1702 · Fax (509) 786-1022

Phone(509) 788-1702

Fax(509) 786-1022

Sole ProprietorNo

Enumeration DateApril 25, 2022

NPPES CertifiedApril 20, 2022

✔ NPI 1053055137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OL123456789 (WA)

1000 WALLACE WAY, Grandview, WA 98930

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Nguyen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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