Individual provider Active NPI

Yanna Li, CRNP

  • Family Nurse Practitioner
  • Carlisle, PA
National Provider Identifier
1245645977
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013749 Issued in PA
Practice address
100 N Hanover St
Carlisle, PA 17013-2421
Phone
(717) 218-6670
Fax
(717) 218-6671
NPI assigned
Jun 20, 2014
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013749 PA Primary
Registered Nurse 163W00000X RN603297 PA

Addresses

Primary practice location

100 N Hanover St
Carlisle, PA 17013-2421

Mailing address

807 Marshall Dr
Carlisle, PA 17013-1665
Phone (917) 605-1137

Other identifiers 1

IdentifierTypeStateIssuer
1029089300001MedicaidPA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN603297PAMDRegistered Nurse
SP013749PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: yanna.li.1@29991.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1245645977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MARSHALL DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131665",
            "telephone_number": "917-605-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670",
            "fax_number": "717-218-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013749",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN603297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029089300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.