Individual provider Active NPI

Cat Thy Ha Huynh, MD

  • Student in an Organized Health Care Education/Training Program
  • Bremerton, WA
National Provider Identifier
1740976281
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
ML61426848 Issued in WA
Practice address
4207 Kitsap Way
Bremerton, WA 98312-2447
Phone
(360) 415-1080
Fax
(360) 415-1099
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ML61426848 WA Primary

Addresses

Primary practice location

4207 Kitsap Way
Bremerton, WA 98312-2447

Mailing address

4207 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 415-1080

Other names 1

  • Thy Ha Huynh Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thuynh789186@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003163 WA Order and Referring Only - Family PracticePractitioner - Family Practice 9739541772

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 NE 87TH Ave
Vancouver, WA 98664-1913

PO Box
Portland, OR 97208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML61426848WAMDStudent in an Organized Health Care Education/Training Program

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1740976281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 KITSAP WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122447",
            "telephone_number": "360-415-1080",
            "fax_number": "360-415-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 KITSAP WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122447",
            "telephone_number": "360-415-1080",
            "fax_number": "360-415-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CAT THY",
        "middle_name": "HA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "ML61426848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thuynh789186@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4207 Kitsap Way",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983122447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THY",
            "last_name": "HUYNH",
            "middle_name": "HA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.