Individual provider Active NPI

Emmy Thuy Le, DNP, APRN, FNP-BC

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1679294268
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2022062543 Issued in MO
Practice address
450 N New Ballas Rd Ste 204
Saint Louis, MO 63141-6836
Phone
(314) 991-0137
Fax
(314) 991-0603
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 2022062543 MO
Adult Health Nurse Practitioner 363LA2200X 2022062543 MO Primary

Addresses

Primary practice location

450 N New Ballas Rd Ste 204
Saint Louis, MO 63141-6836

Mailing address

PO Box 840185
Kansas City, MO 64184-0185
Phone (314) 991-0137

Other practice location 1

1011 Bowles Ave Ste 210
Fenton, MO 63026-2384
Phone (636) 681-3030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emmy@mykidneydocs.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230801004030 MO Practitioner - Nurse Practitioner 1254792633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Specialists LLCGroup PAC ID 4082501804, 7 clinicians

Practice addresses (Care Compare)

450 N New Ballas Rd
Suite 204
Saint Louis, MO 63141-6836
Phone (314) 991-0137

Hospital & facility affiliations

  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022062543MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Specialists, LLC CurrentSince Jun 12, 2023 Accepting new patients
NHS South LLC Past Accepting new patients
Nephrology and Hypertension Specialists, LLC PastSince Oct 15, 2023 Accepting new patients

Locations (25 of 33)

102 Richardson Xing
Arnold, MO 63010
Phone (636) 467-5619

12380 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 344-3001

257 Clarkson Rd
Ellisville, MO 63011
Phone (636) 207-7401

1011 Bowles Ave
Ste 210
Fenton, MO 63026
Phone (314) 991-0137

1011 Bowles Ave
Ste 220
Fenton, MO 63026
Phone (636) 681-3030

2 Grandview Plaza Medical Ctr
Florissant, MO 63033

6865 Parker Rd
Florissant, MO 63033
Phone (314) 653-6100

40 Walters Pl
House Springs, MO 63051
Phone (636) 375-5270

1503 E 10th St
Rolla, MO 65401
Phone (573) 364-6475

1702 E 10th St
Ste B
Rolla, MO 65401
Phone (573) 458-2013

1070 S Bishop Ave
Rolla, MO 65401
Phone (573) 341-1473

1070 S Bishop Ave
Ste C
Rolla, MO 65401
Phone (573) 226-4780

10951 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 739-4691

400 N Lindbergh Blvd
Saint Louis, MO 63141
Phone (314) 989-0886

13134 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 843-7390

9560 Watson Rd
Ste A
Saint Louis, MO 63126
Phone (314) 842-0322

8029 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 382-2869

555 N New Ballas Rd
Ste 260
Saint Louis, MO 63141
Phone (314) 977-6362

555 N New Ballas Rd
Ste 170
Saint Louis, MO 63141
Phone (314) 872-9272

8980 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 426-2064

450 N New Ballas Rd
Ste 204
Saint Louis, MO 63141
Phone (314) 991-0137

4145 Union Rd
Saint Louis, MO 63129
Phone (314) 894-1851

6400 Clayton Rd
Ste 304
Saint Louis, MO 63117

7303 Watson Rd
Saint Louis, MO 63119

3009 N Ballas Rd
Ste 365
Saint Louis, MO 63131
Phone (314) 843-3449

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: emmy.le.p1@direct.nephrologyhtn.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1679294268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840185",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840185",
            "telephone_number": "314-991-0137",
            "fax_number": "314-991-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416836",
            "telephone_number": "314-991-0137",
            "fax_number": "314-991-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Bowles Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262384",
            "country_code": "US",
            "telephone_number": "636-681-3030",
            "fax_number": "636-326-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "EMMY",
        "middle_name": "THUY",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022062543",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2022062543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emmy@mykidneydocs.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1011 Bowles Ave",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630262395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.