Individual provider Active NPI

Judy Li, APRN

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1750191516
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R228103 Issued in MD
Practice address
5840 Banneker Rd Ste 270
Columbia, MD 21044-3462
Phone
(301) 381-8381
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R228103 MD Primary

Addresses

Primary practice location

5840 Banneker Rd Ste 270
Columbia, MD 21044-3462

Mailing address

10317 Kingsway CT
Ellicott City, MD 21042-5802
Phone (443) 254-1007

Other practice location 1

10317 Kingsway Ct
Ellicott City, MD 21042-5802
Phone (443) 254-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250721001311 DC Practitioner - Nurse Practitioner 6305352006 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Asthma and Allergy P.C. CurrentSince Jun 9, 2025 Accepting new patients
Virant Diagnostics, Inc CurrentSince Jan 19, 2025 Accepting new patients
Avesta Mental Health PastSince Jan 8, 2023 Accepting new patients

Locations

2 Wisconsin Cir
Ste 250
Chevy Chase, MD 20815
Phone (301) 962-5800

11002 Veirs Mill Rd
Ste 414
Wheaton, MD 20902
Phone (301) 962-1605

Organizations & group practices 3

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1750191516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 KINGSWAY CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425802",
            "telephone_number": "443-254-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 BANNEKER RD STE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443462",
            "telephone_number": "301-381-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10317 Kingsway Ct",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210425802",
            "country_code": "US",
            "telephone_number": "443-254-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JUDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R228103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.