Active NPI
Amber Keavey Huynh, PA-C
- Physician Assistant
- Southfield, MI
National Provider Identifier
1912446543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60797617
- Practice address
- 3000 Town Ctr Ste 1400
Southfield, MI 48075-1271 - Phone
- (313) 284-2204
- NPI assigned
- Feb 15, 2017
- Last updated
- Aug 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0009745 | CO | |
| Physician Assistant | 363A00000X | 0010-09506 | NC | |
| Physician Assistant | 363A00000X | 60797617 | WA | Primary |
| Physician Assistant | 363A00000X | 8907-23 | WI | |
| Physician Assistant | 363A00000X | 6375 | SC | |
| Physician Assistant | 363A00000X | 50.010174RX | OH | |
| Physician Assistant | 363A00000X | 2026009925 | MO | |
| Medical Physician Assistant | 363AM0700X | 5601012443 | MI |
Addresses
Primary practice location
3000 Town Ctr Ste 1400
Southfield, MI 48075-1271
Mailing address
51050 Gold Ridge LN
Canton, MI 48188-3402
Phone (910) 709-0858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1147070 | Other | NCCPA ID | |
| 5601012443 | Other | MI | STATE LICENSE NUMBER |
| 60797617 | Other | WA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920000801 | MI | Order and Referring Only - Physician Assistant | 9830459338 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6375 | SC | MD | Professional Counselor |
| PA.0009745 | CO | MD | Physician Assistant |
| 2026009925 | MO | MD | Physician Assistant |
| 0010-09506 | NC | MD | Physician Assistant |
| 50.010174RX | OH | MD | Physician Assistant |
| 60797617 | WA | MD | Physician Assistant |
| 8907-23 | WI | MD | Physician Assistant |
Interoperability endpoints
- ms_ahuynh18@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1912446543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51050 GOLD RIDGE LN",
"city": "CANTON",
"state": "MI",
"postal_code": "481883402",
"telephone_number": "910-709-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 TOWN CTR STE 1400",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751271",
"telephone_number": "313-284-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "AMBER",
"middle_name": "KEAVEY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0009745",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09506",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "60797617",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "8907-23",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "6375",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.010174RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2026009925",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601012443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA ID",
"identifier": "1147070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5601012443",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "60797617",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.