SUPATCHAYA TONGTHENG FNP NPI 1093380446

NPI Information

NPI: 1093380446
Provider Name: SUPATCHAYA TONGTHENG, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
26 QUEEN STREET
WORCESTER, MA
ZIP 01610
Phone: (508) 860-7700
Get Directions

Supatchaya Tongtheng, FNP is a family nurse practitioner in Worcester, MA. Supatchaya Tongtheng, FNP NPI is 1093380446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26 QUEEN STREET
WORCESTER, MA
ZIP 01610-473
Phone: (508) 860-7700

The NPI 1093380446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 7/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2299557	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	2299557	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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