Joanna Yuan Ly, NP
Nurse Practitioner, Pediatrics in Prosper, TX. Individual provider (NPI-1).
NPI number1245126366
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1245126366
- Entity type
- Individual (NPI-1)
- Name
- Joanna Yuan Ly
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2025
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1142693 | TX | Yes |
| 163W00000X | Registered Nurse | 1142693 | TX |
Practice location
2120 Prairie Dr Ste 102Prosper, TX 75078-3818
Phone 972-544-9455 · Fax 972-544-9465
Mailing address
1613 Alexander DrMcKinney, TX 75071-4168
Phone 510-381-6683
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.
Other Pediatric Nurse Practitioner providers in Prosper, TX
- Arianna Colbert, APRN- CPNP-PCNPI 1093604233
- Ally Renee Funkhouser Dye, CPNPNPI 1851814784
- Misty Stewart, PNPNPI 1609329929
- Lisa Margaret Thompson-Ross, NPNPI 1689775603
All 5 Pediatric Nurse Practitioner providers in Prosper · All 1,124 providers in Prosper
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