Individual provider Active NPI

Jeannie Loan Huynh, M.D.

  • Pediatrics Physician
  • Pearland, TX
National Provider Identifier
1922480839
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R7767 Issued in TX
Practice address
2017 Broadway St Unit a
Pearland, TX 77581-5501
Phone
(281) 485-9990
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R7767 TX Primary
Pediatrics Physician 208000000X BP10053996 TX

Addresses

Primary practice location

2017 Broadway St Unit a
Pearland, TX 77581-5501

Mailing address

2304 Bristol Water Dr
Pearland, TX 77584-7869
Phone (832) 344-6761

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10053996TXMDPediatrics Physician
R7767TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Pediatrics Pediatrics CurrentSince Jan 26, 2022 Accepting new patients
Pearland Pediatric Urgent Care PA PastSince Jan 26, 2022 Accepting new patients

Locations

2017 Broadway St
#A
Pearland, TX 77581
Phone (281) 485-9990

Interoperability endpoints

  • Direct secure messaging: jhuynh@pearland.pcc-direct.com

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1922480839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 BRISTOL WATER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847869",
            "telephone_number": "832-344-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST UNIT A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "JEANNIE",
        "middle_name": "LOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-01-21",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7767",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10053996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.