Individual provider Active NPI

Vivien Huynh, APRN

  • Family Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1801571336
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027112 Issued in FL
Practice address
360 Town Plaza Ave Ste 350
Ponte Vedra Beach, FL 32081-5175
Phone
(904) 694-5477
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11027112 FL Primary

Addresses

Primary practice location

360 Town Plaza Ave Ste 350
Ponte Vedra Beach, FL 32081-5175

Mailing address

215 Buck Run Way
Saint Augustine, FL 32092-1833
Phone (904) 631-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241025002156 PA Practitioner - Nurse Practitioner 1456884618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Phone (570) 255-1178

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone (570) 808-5135

1175 E Mountain Blvd
Suite 150723
Wilkes Barre, PA 18702-7906
Phone (570) 808-1093

1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800

128 E Main St
Nanticoke, PA 18634-1604
Phone (570) 258-1304

3 W Olive St
Scranton, PA 18508-2572
Phone (570) 207-5970

35 S Mountain Blvd
Mountain Top, PA 18707-1122
Phone (570) 474-5847

42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880

5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2180

560 Pierce St
Kingston, PA 18704-5716
Phone (570) 714-5810

631 Northern Blvd
South Abington Township, PA 18411-9025
Phone (570) 587-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11027112FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 14, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 14, 2024 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

Interoperability endpoints

  • Direct secure messaging: vhuynh615552@direct.geisinger.edu

Organizations & group practices 4

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1801571336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BUCK RUN WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921833",
            "telephone_number": "904-631-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOWN PLAZA AVE STE 350",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815175",
            "telephone_number": "904-694-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "VIVIEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.