Organization Active NPI

Radi.8 Medical Spa & Primary Care, PLLC

  • Family Medicine Physician
  • Prosper, TX
National Provider Identifier
1871317834
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RADI.8 MEDICAL SPA & PRIMARY CARE, PLLC
Practice address
2760 W First St
Building C Suite 20
Prosper, TX 75078
Phone
(469) 803-0849
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Yuan Zhao, FNP-CNPI 1932665734
Title
Owner
Phone
(469) 803-0849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2760 W First St
Building C Suite 20
Prosper, TX 75078

Mailing address

2760 W First St
Building C Suite 20
Prosper, TX 75078
Phone (469) 803-0849

Other names 1

  • Radi.8 PrimaCare & MedSpa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2321003Radi.8 Medical Spa & Primary Care, PLLC2760 W 1St St Ste 20, Prosper, TX 75078Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1871317834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 W FIRST ST",
            "address_2": "BUILDING C SUITE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "469-803-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 W FIRST ST",
            "address_2": "BUILDING C SUITE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "469-803-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADI.8 MEDICAL SPA & PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "YUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-803-0849",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radi.8 PrimaCare & MedSpa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.