Individual provider Active NPI

Jessica Tao Li, PH.D

  • Acupuncturist
  • Houston, TX
National Provider Identifier
1629193990
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00924 Issued in TX
Practice address
427 W 20TH St Ste 209
Houston, TX 77008-2400
Phone
(832) 526-3660
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00924 TX Primary

Addresses

Primary practice location

427 W 20TH St Ste 209
Houston, TX 77008-2400

Mailing address

2923 Shoreside Dr
Pearland, TX 77584-7183
Phone (713) 436-7178

Other practice location 1

2923 Shoreside Dr
Pearland, TX 77584-7183
Phone (713) 436-7178

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC00924TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Orimed Herb Center Inc Acupuncturist Past Accepting new patients

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1629193990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 SHORESIDE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847183",
            "telephone_number": "713-436-7178",
            "fax_number": "713-436-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W 20TH ST STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082400",
            "telephone_number": "832-526-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2923 Shoreside Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847183",
            "country_code": "US",
            "telephone_number": "713-436-7178",
            "fax_number": "713-436-7178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JESSICA",
        "middle_name": "TAO",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.