Individual provider Active NPI

Katherine J Huynh, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1174640502
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051539 Issued in PA
Practice address
820 W Thompson Street
Philadelphia, PA 19122
Phone
(215) 827-2010
Fax
(215) 232-1037
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051539 PA Primary

Addresses

Primary practice location

820 W Thompson Street
Philadelphia, PA 19122

Mailing address

1412-22 Fairmount Avenue
Philadelphia, PA 19130
Phone (215) 684-5344

Other practice location 1

1200 Callowhill St
101
Philadelphia, PA 19123-3658
Phone (215) 825-8220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.huynh.p1@direct.dvch.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150508000382 PA Practitioner - Physician Assistant 3678892965 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051539PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince Oct 10, 2021 Accepting new patients
Public Health Mangement Corporation CurrentSince Feb 25, 2015 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Public Health Management Corporation CurrentSince Feb 25, 2015 Accepting new patients

Locations

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

Interoperability endpoints

  • Direct secure messaging: katiehuynh@nncc.allscriptsdirect.net

Organizations & group practices 7

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1174640502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19130",
            "telephone_number": "215-684-5344",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W THOMPSON STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19122",
            "telephone_number": "215-827-2010",
            "fax_number": "215-232-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Callowhill St",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233658",
            "country_code": "US",
            "telephone_number": "215-825-8220",
            "fax_number": "215-825-8254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.huynh.p1@direct.dvch.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "820 W Thompson Street",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.