Individual provider Active NPI

Lannie Vuong-Huynh, M.D.

  • Pediatrics Physician
  • North Miami, FL
National Provider Identifier
1770599672
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME78327 Issued in FL
Practice address
11645 Biscayne Blvd
Suite 103-104
North Miami, FL 33181-3155
Phone
(305) 538-8835
Fax
(305) 891-3496
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME78327 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd
Suite 103-104
North Miami, FL 33181-3155

Mailing address

11645 Biscayne Blvd
Suite 207
North Miami, FL 33181-3155
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
259614800MedicaidFL

Other names 1

  • Dr. Lannie Vuong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040422000163 FL Practitioner - Pediatric Medicine 2062408313 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Mar 27, 2016 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Mar 27, 2016 Accepting new patients
Miami Beach Community Health Center Inc Current Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients

Locations

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 103
North Miami, FL 33181

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

Organizations & group practices 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1770599672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-538-8835",
            "fax_number": "954-538-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 103-104",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-538-8835",
            "fax_number": "305-891-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG-HUYNH",
        "first_name": "LANNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259614800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANNIE",
            "last_name": "VUONG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.