Active NPI
Jennifer L Liles, MD
- Pediatrics Physician
- Henderson, KY
National Provider Identifier
1952563751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 44661
- Practice address
- 9 S Main St
Henderson, KY 42420-3121 - Phone
- (270) 212-1447
- Fax
- (270) 212-1388
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 44661 | KY | Primary |
Addresses
Primary practice location
9 S Main St
Henderson, KY 42420-3121
Mailing address
9 S Main St
Henderson, KY 42420-3121
Phone (270) 212-1447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100182130 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44661 | KY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1952563751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 S MAIN ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203121",
"telephone_number": "270-212-1447",
"fax_number": "270-212-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 S MAIN ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203121",
"telephone_number": "270-212-1447",
"fax_number": "270-212-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "44661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100182130",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.