Individual provider Active NPI

Xingxing Shi

  • Home Health Registered Nurse
  • Plano, TX
National Provider Identifier
1750106860
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
256758 Issued in SC
Practice address
4601 Old Shepard PL Ste 401
Plano, TX 75093-5274
Phone
(972) 612-5370
Fax
(972) 476-1138
NPI assigned
Nov 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 256758 SC
Home Health Registered Nurse 163WH0200X 256758 SC Primary

Addresses

Primary practice location

4601 Old Shepard PL Ste 401
Plano, TX 75093-5274

Mailing address

4601 Old Shepard PL Ste 401
Plano, TX 75093-5274

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

LicenseStateTypeSpecialty
256758SCMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Choice Homecare, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

4601 Old Shepard Pl
Ste 401
Plano, TX 75093
Phone (972) 612-5370

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1750106860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 401",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 401",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935274",
            "telephone_number": "972-612-5370",
            "fax_number": "972-476-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "XINGXING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "SC",
            "license": "256758",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "256758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.