Active NPI
Lindsey Michelle Xiao, D.P.M.
- Podiatrist
- Nesconset, NY
National Provider Identifier
1366739633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 308803
- Practice address
- 130 Gibbs Pond Rd
Nesconset, NY 11767-2255 - Phone
- (631) 979-0060
- Fax
- (631) 724-4460
- NPI assigned
- Jul 6, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N006728 | NY | |
| Podiatrist | 213E00000X | 5901002417 | MI | |
| Podiatrist | 213E00000X | 308803 | LA | Primary |
Addresses
Primary practice location
130 Gibbs Pond Rd
Nesconset, NY 11767-2255
Mailing address
15 N Dorado Cir
Apt 1D
Hauppauge, NY 11788-4612
Phone (985) 974-5911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901002417 | Other | MI | PODIATRY LICENSE |
| N006728 | Other | NY | PODIATRY LICENSE |
| 5315051542 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
Other names 1
- Lindsey Michelle Gillman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006728 | NY | MD | Mental Health Counselor |
| N006728 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366739633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N DORADO CIR",
"address_2": "APT 1D",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884612",
"telephone_number": "985-974-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GIBBS POND RD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672255",
"telephone_number": "631-979-0060",
"fax_number": "631-724-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIAO",
"first_name": "LINDSEY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N006728",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002417",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "308803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRY LICENSE",
"identifier": "5901002417",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRY LICENSE",
"identifier": "N006728",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICENSE",
"identifier": "5315051542",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "GILLMAN",
"middle_name": "MICHELLE",
"credential": "D.P.M.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.