Individual provider Active NPI

Han-Chin C Huang, FNP

  • Family Nurse Practitioner
  • Fort Mohave, AZ
National Provider Identifier
1972812626
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3760 Issued in AZ
Practice address
1510 E Wagon Wheel LN
Suite 110
Fort Mohave, AZ 86426-6697
Phone
(928) 788-3333
Fax
(928) 788-3555
NPI assigned
Sep 29, 2010
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3760 AZ Primary

Addresses

Primary practice location

1510 E Wagon Wheel LN
Suite 110
Fort Mohave, AZ 86426-6697

Mailing address

2175 Mimosa Dr
Lake Havasu City, AZ 86403-6793
Phone (928) 846-0290

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1972812626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 MIMOSA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036793",
            "telephone_number": "928-846-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN",
            "address_2": "SUITE 110",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266697",
            "telephone_number": "928-788-3333",
            "fax_number": "928-788-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HAN-CHIN",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.