Individual provider Active NPI

Amelia L Nguyen-Phuc

  • Acute Care Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1124987946
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1027414 Issued in TX
Practice address
1723 Country Air LN
Missouri City, TX 77459-2998
Phone
(979) 933-7037
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1027414 TX Primary

Addresses

Primary practice location

1723 Country Air LN
Missouri City, TX 77459-2998

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (979) 933-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1027414TXMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1124987946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "979-933-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 COUNTRY AIR LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592998",
            "telephone_number": "979-933-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-PHUC",
        "first_name": "AMELIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1027414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.