Active NPI
Sue Kiachiatong Xiong, REGISTERED NURSE
- Registered Nurse
- Saint Paul, MN
National Provider Identifier
1205025202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 163W00000X
- Practice address
- 1049 Payne Ave
Saint Paul, MN 55130-3840 - Phone
- (651) 793-7635
- NPI assigned
- Oct 16, 2007
- Last updated
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 163W00000X | MN | Primary |
Addresses
Primary practice location
1049 Payne Ave
Saint Paul, MN 55130-3840
Mailing address
1049 Payne Ave
Saint Paul, MN 55130-3840
Phone (651) 793-7635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1557552 | Other | MN | REGISTERED NURSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 163W00000X | MN | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V-Care Home Health, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1629267620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1205025202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303840",
"telephone_number": "651-793-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303840",
"telephone_number": "651-793-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "SUE",
"middle_name": "KIACHIATONG",
"name_prefix": "Miss",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "163W00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "R1557552",
"state": "MN"
}
],
"endpoints": [],
"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 Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.