Active NPI
Jenny Lieu
- Family Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1609498633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2020014748
- Practice address
- 7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522 - Phone
- (314) 892-8352
- NPI assigned
- May 13, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020014748 | MO | Primary |
Addresses
Primary practice location
7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522
Mailing address
7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522
Phone (314) 892-8352
Other practice location 1
1025 Dunn Rd
Florissant, MO 63031-8205
Phone (143) 736-1333
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1609498633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7334 S LINDBERGH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254522",
"telephone_number": "314-892-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7334 S LINDBERGH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254522",
"telephone_number": "314-892-8352"
}
],
"practiceLocations": [
{
"address_1": "1025 Dunn Rd",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630318205",
"country_code": "US",
"telephone_number": "143-736-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEU",
"first_name": "JENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2020014748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.