Active NPI
An My Huynh
- Family Nurse Practitioner
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1107026
- Practice address
- 3750 E Palm Valley Blvd Unit 20
Round Rock, TX 78665-3313 - Phone
- (512) 584-4210
- NPI assigned
- Jul 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 1107026 | TX | Primary |
Addresses
Primary practice location
3750 E Palm Valley Blvd Unit 20
Round Rock, TX 78665-3313
Mailing address
3750 E Palm Valley Blvd Unit 20
Round Rock, TX 78665-3313
Phone (512) 584-4210
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230412001438 | TX | Practitioner - Nurse Practitioner | 8426423062 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgetown Integrated Medical PLLC
Practice addresses (Care Compare)
101 Cooperative Way
Suite 235
Georgetown, TX 78626-8211
Phone (512) 630-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Integrated Medical PLLC | Family | Current | Accepting new patients |
Locations
4887 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (512) 630-0060
101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060
2201 Double Creek Dr
Ste 4001
Round Rock, TX 78664
Phone (512) 630-0060
61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225
1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Georgetown, TX
- NPI 1437736634
Family, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1366176190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 E PALM VALLEY BLVD UNIT 20",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653313",
"telephone_number": "512-584-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 E PALM VALLEY BLVD UNIT 20",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653313",
"telephone_number": "512-584-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "AN",
"middle_name": "MY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-16",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1107026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.