Active NPI
Radi.8 Medical Spa & Primary Care, PLLC
- Family Medicine Physician
- Prosper, TX
National Provider Identifier
1871317834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuan Zhao, FNP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2321003 | Radi.8 Medical Spa & Primary Care, PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.