Active NPI
Qi Li
- Speech-Language Pathologist
- Flushing, NY
National Provider Identifier
1962920496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026973-1
- Practice address
- 14628 Jasmine Ave
Flushing, NY 11355-2248 - Phone
- (718) 352-0104
- Fax
- (718) 352-0131
- NPI assigned
- Sep 5, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026973-1 | NY | Primary |
Addresses
Primary practice location
14628 Jasmine Ave
Flushing, NY 11355-2248
Mailing address
14214 26TH Ave Apt 6a
Flushing, NY 11354-1702
Phone (718) 916-2079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026973-1 | Other | NY | LICENSE NUMBER |
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 |
|---|---|---|---|
| 026973-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York League for Early Learning - the Clearview School | Past | Accepting new patients | |
| New York League for Early Learning - the Clearview School | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student in an Organized Health Care Education/Training Program
- Flushing, NY
- NPI 1083106157
-
- Student in an Organized Health Care Education/Training Program
- Flushing, NY
- NPI 1083106348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1962920496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14214 26TH AVE APT 6A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541702",
"telephone_number": "718-916-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14628 JASMINE AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552248",
"telephone_number": "718-352-0104",
"fax_number": "718-352-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "QI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026973-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "026973-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.