Xuan Ly, BS

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

401 W Springfield Ave
Champaign, IL 61820-4716

Phone

(217) 398-8464

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346445517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 HALIFAX DR",
            "address_2": "UNIT A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225214",
            "telephone_number": "504-858-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W SPRINGFIELD AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204716",
            "telephone_number": "217-398-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "XUAN",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lusby, MD
• Lutheran Social Services of Il
• Luxottica of America Inc (Target Optical #4821)
• Luxottica of America Inc. (Lenscrafters # 112)
• Luxottica Retail North America Inc (Pearle Vision #6361)
• Jazzlyn Lynch, CNA
• Devin Lyons
• Lacey Jo Lyons, RD
• Ashley Brooke Macdonald, H.I.S.
• Ciara Eileen Macenas

• Rehabilitation Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Rehabilitation Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.