Active NPI
Vivien Huynh, APRN
- Family Nurse Practitioner
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11027112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11027112 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | 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
- 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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.