Active NPI
Jennifer Hua, PA-C
- Physician Assistant
- Meridian, ID
National Provider Identifier
1811589518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-2081
- Practice address
- 2273 E Gala St Ste 100
Meridian, ID 83642-7289 - Phone
- (208) 273-1573
- NPI assigned
- Feb 4, 2021
- Last updated
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-2081 | ID | Primary |
Addresses
Primary practice location
2273 E Gala St Ste 100
Meridian, ID 83642-7289
Mailing address
2273 E Gala St Ste 100
Meridian, ID 83642-7289
Phone (208) 273-1573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 23, 2026 through Jun 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-2081 | ID | MD | Physician Assistant |
Interoperability endpoints
- livewellpsychiatry.jenniferhua@157609.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1811589518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2273 E GALA ST STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427289",
"telephone_number": "208-273-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2273 E GALA ST STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427289",
"telephone_number": "208-273-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-2081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.