Individual provider Active NPI

Xin Yi Liew

  • Athletic Trainer
  • Gainesville, FL
National Provider Identifier
1053738914
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL3631 Issued in FL
Practice address
8009 Sw14Th Ave
Gainesville, FL 32607
Phone
(860) 617-9836
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL3631 FL Primary

Addresses

Primary practice location

8009 Sw14Th Ave
Gainesville, FL 32607

Mailing address

4400 SW 20TH Ave
Apt # 3101
Gainesville, FL 32607-3966
Phone (860) 617-9836

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

State licenses

LicenseStateTypeSpecialty
AL3631FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1053738914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SW 20TH AVE",
            "address_2": "APT # 3101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073966",
            "telephone_number": "860-617-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 SW14TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "860-617-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEW",
        "first_name": "XIN YI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.