Phylicia Little, FNP-BC
Nurse Practitioner, Family in Maryland Heights, MO. Individual provider (NPI-1).
NPI number1053782276
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1053782276
- Entity type
- Individual (NPI-1)
- Name
- Phylicia Little
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2015
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2016027446 | MO | Yes |
| 163W00000X | Registered Nurse | 2009020513 | MO |
Practice location
13655 Riverport DrMaryland Heights, MO 63043-4812
Phone 314-972-7000
Mailing address
13655 Riverport DrMaryland Heights, MO 63043-4812
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Family Nurse Practitioner providers in Maryland Heights · All 449 providers in Maryland Heights
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