Individual provider Active NPI

Xue Yao Sharon Li, MSN NP-BC, BSN RN

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1215654207
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F355289-01 Issued in NY
Practice address
2717 42ND Rd Apt 16C
Long Island City, NY 11101-4965
Phone
(646) 204-6111
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F421592-01 NY
Family Nurse Practitioner 363LF0000X F355289-01 NY Primary

Addresses

Primary practice location

2717 42ND Rd Apt 16C
Long Island City, NY 11101-4965

Mailing address

527 51St Ave Apt 3C
Long Is City, NY 11101-5957
Phone (646) 204-1111

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL lll; Direct
CONNECT URL lll; Direct

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F421592-01NYMDNurse Practitioner
F355289-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
X Y NP in Women's Health PLLC Nurse Practitioner CurrentSince Sep 17, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1215654207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 51ST AVE APT 3C",
            "city": "LONG IS CITY",
            "state": "NY",
            "postal_code": "111015957",
            "telephone_number": "646-204-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 42ND RD APT 16C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014965",
            "telephone_number": "646-204-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XUE YAO",
        "middle_name": "SHARON",
        "credential": "MSN NP-BC, BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F421592-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355289-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lll;",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2717 42nd Rd Apt 16C",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111014965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lll;",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2717 42nd Rd Apt 16C",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111014965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.