Xiao Juan Li

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

2633355 Issued in NY

Practice address

2343 Bath Ave Apt 3F
Brooklyn, NY 11214-5346

Phone

(917) 214-1581

NPI assigned

Jul 12, 2022

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

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1558095935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 BATH AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145346",
            "telephone_number": "917-214-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 BATH AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145346",
            "telephone_number": "917-214-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAO JUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "2633355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Li, MHC-LP
• Winnie Li, MSOTR/L, CNS
• Winson Li
• Xian Min Li, D.O.
• Xiang Yi Li
• Xiaoyi Li
• Xin Cheng Li, FNP-BC
• Xinwei Li, LMSW
• Xiuying Li
• Xiya Li

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.