Individual provider Active NPI

Yufang Xue, L.AC., DIPL.C.H.

  • Acupuncturist
  • Camas, WA
National Provider Identifier
1750493953
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002853 Issued in WA
Practice address
337 NE 5TH Ave
Camas, WA 98607-2030
Phone
(360) 798-7132
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002853 WA Primary
Acupuncturist 171100000X AC00880 OR
Acupuncturist 171100000X 1235 MN

Addresses

Primary practice location

337 NE 5TH Ave
Camas, WA 98607-2030

Mailing address

337 NE 5TH Ave
Camas, WA 98607-2030
Phone (360) 798-7132

Other identifiers 1

IdentifierTypeStateIssuer
20576OtherCHINESE HERBOLOGY

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
1235MNMDMarriage & Family Therapist
AC00880ORMDAcupuncturist
AC00002853WAMDAcupuncturist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1750493953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 NE 5TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072030",
            "telephone_number": "360-798-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 NE 5TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072030",
            "telephone_number": "360-798-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUE",
        "first_name": "YUFANG",
        "credential": "L.AC., DIPL.C.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002853",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00880",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHINESE HERBOLOGY",
            "identifier": "20576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.