Individual provider Active NPI

Xiao Fu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1013704972
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193349 Issued in VA
Practice address
11 S 12TH St
Richmond, VA 23219-4053
Phone
(203) 823-6288
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Mountain Laurel Way
Azusa, CA 91702-6265

79 Ogle Rd
Old Tappan, NJ 07675-7026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA, AZ, UT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260430004502 DC Practitioner - Nurse Practitioner 8224505805
I20260505001856 CA Practitioner - Nurse Practitioner 8224505805 Reassigns benefits to 1 organization
I20260602004218 AZ Practitioner - Nurse Practitioner 8224505805 Reassigns benefits to 1 organization
I20260616004488 UT Practitioner - Nurse Practitioner 8224505805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10026417ORMDPsychiatric/Mental Health Nurse Practitioner
0024193349VAMDPsychiatric/Mental Health Nurse Practitioner
AP61685222WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Teletherapeutics Health in C Single Specialty CurrentSince Mar 18, 2026 Accepting new patients
Teletherapeutics Health Ca Corp Single Specialty CurrentSince Mar 21, 2026 Accepting new patients
Teletherapeutics Health Incorporated Single Specialty CurrentSince May 3, 2026 Accepting new patients

Locations

18520 Pioneer Blvd
Ste 205
Artesia, CA 90701

710 Rimpau Ave
Ste 102
Corona, CA 92879
Phone (213) 373-5523

26498 Baseline St
Ste A
Highland, CA 92346

774 E 2100 S
Salt Lake Cty, UT 84106

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61685222 WA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 10026417 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193349 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

11 S 12TH St
Richmond, VA 23219-4053

Mailing address

2807 N Parham Rd Ste 320
#6177
Richmond, VA 23294-4458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2025.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1013704972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N PARHAM RD STE 320",
            "address_2": "#6177",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194053",
            "telephone_number": "203-823-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "XIAO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61685222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10026417",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.