Active NPI
Jun Liu
- Licensed Practical Nurse
- Columbia, MD
National Provider Identifier
1063761518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- R197765
- Practice address
- 7055 Samuel Morse Dr Ste 200
Columbia, MD 21046-3441 - Phone
- (443) 388-2739
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | R197765 | MD | Primary |
Addresses
Primary practice location
7055 Samuel Morse Dr Ste 200
Columbia, MD 21046-3441
Mailing address
7055 Samuel Morse Dr Ste 200
Columbia, MD 21046-3441
Phone (443) 388-2739
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 |
|---|---|---|---|
| R197765 | MD | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1063761518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 SAMUEL MORSE DR STE 200",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463441",
"telephone_number": "443-388-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 SAMUEL MORSE DR STE 200",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463441",
"telephone_number": "443-388-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "R197765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.