Active NPI
Xiaoli Zhang
- Registered Nurse
- Berkeley Lake, GA
National Provider Identifier
1285096479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN254109
- Practice address
- 4720 Peachtree Industrial Blvd
Suite 104
Berkeley Lake, GA 30071-5735 - Phone
- (678) 431-9117
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 | RN254109 | GA | Primary |
Addresses
Primary practice location
4720 Peachtree Industrial Blvd
Suite 104
Berkeley Lake, GA 30071-5735
Mailing address
PO Box 1108
Duluth, GA 30096-0020
Phone (678) 431-9117
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 |
|---|---|---|---|
| RN254109 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1285096479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "DULUTH",
"state": "GA",
"postal_code": "300960020",
"telephone_number": "678-431-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE 104",
"city": "BERKELEY LAKE",
"state": "GA",
"postal_code": "300715735",
"telephone_number": "678-431-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "XIAOLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN254109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Lake, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.