Individual provider Active NPI

Denise T Li, NP

  • Nurse Practitioner
  • Lafayette, CA
National Provider Identifier
1245600774
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001523 Issued in CA
Practice address
3694 Happy Valley Rd
Lafayette, CA 94549-3040
Phone
(925) 360-5835
Fax
(925) 462-7258
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 391756 CA
Nurse Practitioner 363L00000X 95001523 CA Primary

Addresses

Primary practice location

3694 Happy Valley Rd
Lafayette, CA 94549-3040

Mailing address

PO Box 1452
Lafayette, CA 94549-1452
Phone (925) 360-5835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171222000589 CA Practitioner - Nurse Practitioner 2062770928 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Neurointensivists Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

323 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 430-5335

Organizations & group practices 1

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": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1245600774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945491452",
            "telephone_number": "925-360-5835",
            "fax_number": "925-462-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HAPPY VALLEY RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493040",
            "telephone_number": "925-360-5835",
            "fax_number": "925-462-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "DENISE",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "391756",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.