Individual provider Active NPI

Xee Vang Xiong

  • Foster Care Agency
  • Saint Paul, MN
National Provider Identifier
1013543164
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1100347 Issued in MN
Practice address
1358 Hazelwood St
Saint Paul, MN 55106-2211
Phone
(651) 925-9589
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 1100347 MN Primary

Addresses

Primary practice location

1358 Hazelwood St
Saint Paul, MN 55106-2211

Mailing address

1358 Hazelwood St
Saint Paul, MN 55106-2211
Phone (651) 925-9589

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL address

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

State licenses

LicenseStateTypeSpecialty
1100347MNMDFoster Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Adult Foster Care Foster Care Agency CurrentSince May 19, 2024 Accepting new patients

Organizations & group practices 1

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1013543164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 HAZELWOOD ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062211",
            "telephone_number": "651-925-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 HAZELWOOD ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062211",
            "telephone_number": "651-925-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "XEE",
        "middle_name": "VANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1100347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "address",
            "affiliation": "N",
            "endpointDescription": "mails",
            "address_1": "1358 Hazelwood St",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551062211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.