Individual provider Active NPI

Xiao Xiao Zou Hoffman, FNP-C

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1992337208
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02200187 Issued in UT
Practice address
1747 N 1500 W
Provo, UT 84604-1146
Phone
(801) 722-5670
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02200187 UT Primary

Addresses

Primary practice location

1747 N 1500 W
Provo, UT 84604-1146

Mailing address

1747 N 1500 W
Provo, UT 84604-1146
Phone (801) 722-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122002430 UT Practitioner - Nurse Practitioner 9739593302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02200187UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gessner Peterson House Calls Inc Family CurrentSince Sep 24, 2020 Accepting new patients
Mary Gessner-Peterson Medical Group, Inc Past Accepting new patients
Utah Fertility Center Past Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

1730 Alpine Blvd
Ste 205
Alpine, CA 91901
Phone (619) 326-4445

41 E 400 N
Logan, UT 84321
Phone (435) 640-6290

2938 S Redwood Rd
West Valley City, UT 84119
Phone (801) 978-2424

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12903/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1992337208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 N 1500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041146",
            "telephone_number": "801-722-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 N 1500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041146",
            "telephone_number": "801-722-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "XIAO XIAO",
        "middle_name": "ZOU",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F02200187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.