Active NPI
David James Le
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021050226
- Practice address
- 4352 Manchester Ave
Saint Louis, MO 63110-2138 - Phone
- (314) 353-5190
- NPI assigned
- Dec 25, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021050226 | MO | Primary |
Addresses
Primary practice location
4352 Manchester Ave
Saint Louis, MO 63110-2138
Mailing address
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone (314) 353-5190
Other practice location 1
1055 Bowles Ave Ste 200
Fenton, MO 63026-2308
Phone (636) 496-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone 31448116151306
4352 Manchester Ave
Saint Louis, MO 63110-2138
Phone 31448116151306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021050226 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belleville Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Family Care Health Centers | Current | Accepting new patients | |
| Alton Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Waterloo Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Wood River Urgent Care and Walk in Clinic Inc | Current | Accepting new patients | |
| Granite City Urgent Care Walk-in Clinic | Current | Accepting new patients |
Locations
1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320
2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053
2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723
907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200
211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
4352 Manchester Ave
Saint Louis, MO 63110
Phone (314) 371-0336
401 Holly Hills Ave
Saint Louis, MO 63111
Phone (314) 353-5190
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1508867508
-
- Family Medicine Physician
- Alton, IL
- NPI 1013521343
-
- Family Medicine Physician
- Belleville, IL
- NPI 1225694946
-
- Urgent Care Clinic/Center
- Granite City, IL
- NPI 1659861953
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1508471418
-
- Family Medicine Physician
- Wood River, IL
- NPI 1427717438
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1023285624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1902566458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HOLLY HILLS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112410",
"telephone_number": "314-353-5190",
"fax_number": "314-353-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 MANCHESTER AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102138",
"telephone_number": "314-353-5190"
}
],
"practiceLocations": [
{
"address_1": "1055 Bowles Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630262308",
"country_code": "US",
"telephone_number": "636-496-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-25",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021050226",
"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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.