Individual provider Active NPI

Karen Cecilia Wong Li James, RN

  • Registered Nurse
  • Port Saint Lucie, FL
National Provider Identifier
1093299604
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9483040 Issued in FL
Practice address
10024 SW Glenbrook Drive
Port Saint Lucie, FL 34987
Phone
(561) 856-0120
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9483040 FL Primary

Addresses

Primary practice location

10024 SW Glenbrook Drive
Port Saint Lucie, FL 34987

Mailing address

10024 SW Glenbrook Drive
Port Saint Lucie, FL 34987
Phone (561) 856-0120

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9483040FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1093299604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SW GLENBROOK DRIVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "561-856-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SW GLENBROOK DRIVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "561-856-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG LI JAMES",
        "first_name": "KAREN",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9483040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.