Individual provider Active NPI

Suhyun An, D.C.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922005990
Registry record updated Jun 1, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective May 27, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137493 Issued in TX
Practice address
1012 Campbell Rd # 100
Houston, TX 77055
Phone
(832) 358-2225
Fax
(832) 358-2226
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9783 TX
Family Nurse Practitioner 363LF0000X AP137493 TX Primary

Addresses

Primary practice location

1012 Campbell Rd # 100
Houston, TX 77055

Mailing address

1416 Campbell Rd
Ste. 100
Houston, TX 77055-4752
Phone (832) 358-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9783TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wellness Centers, LLC Chiropractor CurrentSince Sep 1, 2010 Accepting new patients
Johnson Medical Group PLLC PastSince Oct 11, 2011 Accepting new patients

Locations

1416 Campbell Rd
Ste 100
Houston, TX 77055
Phone (713) 468-3155

Organizations & group practices 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1922005990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CAMPBELL RD",
            "address_2": "STE. 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554752",
            "telephone_number": "832-358-2225",
            "fax_number": "832-358-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CAMPBELL RD # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "832-358-2225",
            "fax_number": "832-358-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "SUHYUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9783",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.