Active NPI
Tony Duy Le, AGACNP-BC
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1902444292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2019039971
- Practice address
- 1251 Hyannis Dr
Saint Louis, MO 63146-4639 - Phone
- (314) 629-7589
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2019039971 | MO | Primary |
Addresses
Primary practice location
1251 Hyannis Dr
Saint Louis, MO 63146-4639
Mailing address
1251 Hyannis Dr
Saint Louis, MO 63146-4639
Phone (314) 629-7589
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 |
|---|---|---|---|
| 2019039971 | MO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1902444292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 HYANNIS DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464639",
"telephone_number": "314-629-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 HYANNIS DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464639",
"telephone_number": "314-629-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TONY",
"middle_name": "DUY",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2019039971",
"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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.