Individual provider Active NPI

Mary Thi Huynh, AGNP-C

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1124583679
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142504 Issued in TX
Practice address
3600 Matlock Rd Ste 100
Arlington, TX 76015-3679
Phone
(817) 465-8855
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142504 TX Primary

Addresses

Primary practice location

3600 Matlock Rd Ste 100
Arlington, TX 76015-3679

Mailing address

3600 Matlock Rd Ste 100
Arlington, TX 76015-3679
Phone (817) 881-5510

Other practice location 1

3150 Matlock Rd Ste 403
Arlington, TX 76015-2924
Phone (817) 784-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530000251 TX Practitioner - Nurse Practitioner 5799028031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP142504TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bharmal Internal Medicine Associates,P.a. CurrentSince Feb 7, 2019 Accepting new patients
Urgent Surgery Associates, P.a. Past Accepting new patients

Locations

3150 Matlock Rd
Ste 403
Arlington, TX 76015
Phone (817) 548-6100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1124583679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-881-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-465-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Matlock Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152924",
            "country_code": "US",
            "telephone_number": "817-784-0052",
            "fax_number": "817-375-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MARY",
        "middle_name": "THI",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.