Active NPI
Yang Li
- Primary Care Nurse Practitioner
- Georgetown, TX
National Provider Identifier
1750171914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1007579
- Practice address
- 124 Neterland St
Georgetown, TX 78628-2546 - Phone
- (334) 492-4052
- NPI assigned
- May 10, 2025
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1007579 | TX | Primary |
Addresses
Primary practice location
124 Neterland St
Georgetown, TX 78628-2546
Mailing address
124 Neterland St
Georgetown, TX 78628-2546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
124 Neterland St
Georgetown, TX 78628-2546
2501 W Burbank Blvd
Suite 200
Burbank, CA 91505-2347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1007579 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Wound and Skin Care Inc | Current | Accepting new patients |
Locations
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
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": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1750171914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 NETERLAND ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 NETERLAND ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282546",
"telephone_number": "334-492-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-10",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1007579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.