Individual provider Active NPI

Kristen Huynh

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1497451637
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
710931 Issued in TX
Practice address
4801 Brentwood Stair Rd Ste 404
Fort Worth, TX 76103-1731
Phone
(817) 492-9383
Fax
(817) 492-9575
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 710931 TX Primary

Addresses

Primary practice location

4801 Brentwood Stair Rd Ste 404
Fort Worth, TX 76103-1731

Mailing address

5120 Parkview Hills LN
Fort Worth, TX 76179-4265
Phone (817) 456-1559

Other identifiers 1

IdentifierTypeStateIssuer
710931MedicaidTX

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
710931TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Treatment Services, LLC PastSince Feb 8, 2023 Accepting new patients
Texas Treatment Services LLC PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 2

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1497451637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 PARKVIEW HILLS LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794265",
            "telephone_number": "817-456-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031731",
            "telephone_number": "817-492-9383",
            "fax_number": "817-492-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "710931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710931",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.