Active NPI
Jie Li
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1770328239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2024024851
- Practice address
- 1 Childrens PL
Saint Louis, MO 63110-1002 - Phone
- (314) 454-6006
- NPI assigned
- Jun 27, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2024024851 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Saint Louis, MO 63110-1002
Mailing address
660 S Euclid Ave
MSC 8116-0049-3S34
Saint Louis, MO 63110-1010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024024851 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1770328239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "MSC 8116-0049-3S34",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-454-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2024024851",
"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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.