Active NPI
Shunyu Li, LAC
- Acupuncturist
- Orange, CT
National Provider Identifier
1063603058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000363
- Practice address
- 284 Racebrook Rd Ste 237-238
Orange, CT 06477-3103 - Phone
- (203) 507-1454
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000363 | CT | Primary |
Addresses
Primary practice location
284 Racebrook Rd Ste 237-238
Orange, CT 06477-3103
Mailing address
284 Racebrook Rd Ste 237-238
Orange, CT 06477-3103
Phone (203) 507-1454
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 |
|---|---|---|---|
| 000363 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1063603058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 RACEBROOK RD STE 237-238",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773103",
"telephone_number": "203-507-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 RACEBROOK RD STE 237-238",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773103",
"telephone_number": "203-507-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "SHUNYU",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.