Individual provider Active NPI

An My Huynh

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1366176190
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107026 Issued in TX
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

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 5193113611, 14 clinicians

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

OrganizationSpecialtyStatusNew patients
Georgetown Integrated Medical PLLC Family CurrentSince Feb 27, 2023 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.

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

Verify at the official NPI Registry.