1538157946 NPI number — HELEN H XIAO-LI MD

Table of content: HELEN H XIAO-LI MD (NPI 1538157946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538157946 NPI number — HELEN H XIAO-LI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
XIAO-LI
Provider First Name:
HELEN
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
XIAO
Provider Other First Name:
HELEN
Provider Other Middle Name:
HONG
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538157946
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 850
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT ANGELES
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98362-0146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-683-9895
Provider Business Mailing Address Fax Number:
360-582-5614

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
844 N 5TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEQUIM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98382-3045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-683-9895
Provider Business Practice Location Address Fax Number:
360-685-8256
Provider Enumeration Date:
10/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  224634-3 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0001X , with the licence number: MD61619512 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2177E1 . This is a "EMPIRE BCBS-BRONX #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 837305 . This is a "HEALTH NET PROVIDER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 920007363 . This is a "RAILROAD MCARE PROV. #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4099632 . This is a "GHI PROVIDER NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2177E2 . This is a "EMPIRE BCBS-YONKERS #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 39A0061 . This is a "ABC HEALTH PLAN PROV. #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2666907 . This is a "OXFORD HEALTH PROV. #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: XH4634 . This is a "ATLANTIS HLTH PROVIDER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com