Active NPI
Jeannie Loan Huynh, M.D.
- Pediatrics Physician
- Pearland, TX
National Provider Identifier
1922480839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R7767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BP10053996 | TX | MD | Pediatrics Physician |
| R7767 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearland Pediatrics | Pediatrics | Current | Accepting new patients |
| Pearland Pediatric Urgent Care PA | Past | Accepting new patients |
Locations
2017 Broadway St
#A
Pearland, TX 77581
Phone (281) 485-9990
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Pearland, TX
- NPI 1588651681
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1760888119
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.