Active NPI
Yufang Xue, L.AC., DIPL.C.H.
- Acupuncturist
- Camas, WA
National Provider Identifier
1750493953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002853
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20576 | Other | CHINESE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1235 | MN | MD | Marriage & Family Therapist |
| AC00880 | OR | MD | Acupuncturist |
| AC00002853 | WA | MD | Acupuncturist |
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.
-
- Acupuncturist
- Camas, WA
- NPI 1457519035
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.