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FANG LI
NPI 1003490905
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 07, 2021PECOS Enrolled
853 JEFFERSON AVE STE E102, MEMPHIS, TN 38103(901) 448-2531(901) 448-4701 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fang Li NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANG LI (NPI 1003490905) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003490905
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFANG LI
Location Address853 JEFFERSON AVE STE E102Memphis, TN 38103-2804
Mailing Address472 Randall DrTroy, MI 48085-5529 · (757) 214-8327
Phone(901) 448-2531
Fax(901) 448-4701
Sole ProprietorNo
Enumeration DateMay 7, 2021
NPPES CertifiedApril 11, 2021
✔ NPI 1003490905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
853 JEFFERSON AVE STE E102, Memphis, TN 38103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fang Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HUNTER REED HARRISON MD
Student in an Organized Health Care Education/Training Program
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 604-1275
DR. LAURA CLAIRE KEBERT HIMEL MD, MBA
Obstetrics & Gynecology
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-4795
SEQUITHA LEFLORE-THOMAS FNP-C
Nurse Practitioner (Family)
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-8892
AMANDA PHAM
Student in an Organized Health Care Education/Training Program
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-2531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fang Li's NPI number?

The NPI number for Fang Li is 1003490905. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Fang Li located?

Fang Li practices at 853 Jefferson Ave Ste E102, Memphis, TN 38103. The listed phone number is (901) 448-2531.

What is Fang Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fang Li enrolled in Medicare?

Yes. Fang Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fang Li was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.