Individual provider Active NPI

Amelia L Nguyen-Phuc, ACNPC-AG

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124987946
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1027414 Issued in TX
Practice address
18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone
(281) 332-3001
NPI assigned
Jan 17, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1027414 TX
Adult Health Nurse Practitioner 363LA2200X 1027414 TX Primary

Addresses

Primary practice location

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 1

4801 E Sam Houston Pkwy S
Pasadena, TX 77505-3955
Phone (713) 904-9300

Other practice location 2

500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

Other practice location 3

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 523-2000

Other practice location 4

1723 Country Air Ln
Missouri City, TX 77459-2998
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": "1792713600000",
    "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": "281-332-3001",
            "fax_number": "281-332-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053955",
            "country_code": "US",
            "telephone_number": "713-904-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18300 Houston Methodist Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770586302",
            "country_code": "US",
            "telephone_number": "281-523-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1723 Country Air Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774592998",
            "country_code": "US",
            "telephone_number": "979-933-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-PHUC",
        "first_name": "AMELIA",
        "middle_name": "L",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1027414",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1027414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.