Individual provider Active NPI

Xiaoyan Liu, PH.D., DIPL. AC.

  • Acupuncturist
  • Saint Paul, MN
National Provider Identifier
1053781963
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1566 Issued in MN
Practice address
355 Grand Ave
Saint Paul, MN 55102-2325
Phone
(715) 497-4817
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1566 MN Primary

Addresses

Primary practice location

355 Grand Ave
Saint Paul, MN 55102-2325

Mailing address

355 Grand Ave
Saint Paul, MN 55102-2325
Phone (715) 497-4817

Other names 1

  • Dr. Xiao Yan Liu Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1566MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1053781963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022325",
            "telephone_number": "715-497-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022325",
            "telephone_number": "715-497-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "XIAOYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., DIPL. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIAO YAN",
            "last_name": "LIU",
            "prefix": "DR.",
            "credential": "PHD., DIPL. AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 5, 2015; 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.