SERENA NICOLE LE DO
NPI 1497556658
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 24, 2025PECOS Enrolled
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000(314) 977-1664 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Serena Nicole Le Do NPPES

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

SERENA NICOLE LE DO (NPI 1497556658) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497556658
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENA NICOLE LECredential: DO
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-2605 · Fax (314) 977-1664
Fax(314) 977-1664
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 23, 2025
NPI 1497556658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1201 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Serena Nicole Le Do 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 20

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

Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Clinical Nurse Specialist (Medical-Surgical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine (Pulmonary Disease)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant (Medical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Gerontology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497556658, enumerated as an "individual" on March 24, 2025.

The provider is located at 1201 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 257-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.