KRYSTAL THAO NGUYEN DO
NPI 1114381944
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Q: What is Krystal Nguyen's NPI number?

The NPI number for Krystal Nguyen is 1114381944. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Krystal 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 Krystal Nguyen was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2016PECOS Enrolled

1717 S J ST # MS 01-125, TACOMA, WA 98405(503) 553-9879 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2025, Dec 27, 2022 (2 updates tracked since 2022).

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About Krystal Thao Nguyen Do NPPES

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

KRYSTAL THAO NGUYEN DO (NPI 1114381944) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114381944

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRYSTAL THAO NGUYENCredential: DO

Location Address1717 S J ST # MS 01-125Tacoma, WA 98405-4933

Mailing Address1717 S J St # Ms 01-125Tacoma, WA 98405-4933

Phone(503) 553-9879

Sole ProprietorNo

Enumeration DateApril 7, 2016

Last NPPES UpdateApril 1, 20252 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1114381944 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

1717 S J ST # MS 01-125, Tacoma, WA 98405

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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)

Krystal Thao 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.