Individual provider Active NPI

Xinyi Liu, DBH, RDN

  • Registered Dietitian
  • Olympia, WA
National Provider Identifier
1063153443
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60866073 Issued in WA
Practice address
3435 Martin Way E Ste C
Olympia, WA 98506-5071
Phone
(786) 838-3890
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Registered Dietitian 133V00000X DI60866073 WA Primary

Addresses

Primary practice location

3435 Martin Way E Ste C
Olympia, WA 98506-5071

Mailing address

3435 Martin Way E Ste C
Olympia, WA 98506-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223001339 WA Practitioner - Registered Dietitian Or Nutrition Professional 2264801711 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI60866073WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Solutions and Integrative Medicine LLC Dietitian, Registered CurrentSince Dec 20, 2023 Accepting new patients
Three Points Healing Inc. CurrentSince Nov 1, 2022 Accepting new patients
Three Points Healing California Inc Current Accepting new patients

Locations

3435 Martin Way E
Ste D
Olympia, WA 98506
Phone (360) 488-8211

3435 Martin Way E
Ste C
Olympia, WA 98506
Phone (360) 488-8211

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.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1063153443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MARTIN WAY E STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MARTIN WAY E STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065071",
            "telephone_number": "786-838-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "XINYI",
        "credential": "DBH, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60866073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.