Individual provider Active NPI

Amber Keavey Huynh, PA-C

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1912446543
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60797617 Issued in WA
Practice address
3000 Town Ctr Ste 1400
Southfield, MI 48075-1271
Phone
(313) 284-2204
NPI assigned
Feb 15, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1147070OtherNCCPA ID
5601012443OtherMISTATE LICENSE NUMBER
60797617OtherWASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920000801 MI Order and Referring Only - Physician Assistant 9830459338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6375SCMDProfessional Counselor
PA.0009745COMDPhysician Assistant
2026009925MOMDPhysician Assistant
0010-09506NCMDPhysician Assistant
50.010174RXOHMDPhysician Assistant
60797617WAMDPhysician Assistant
8907-23WIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.