Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amy Kathleen Licis, MD

Individual provider Pediatric Sleep Medicine Physician · NPI 1992914352

Dr. Amy Kathleen Licis, MD is a Sleep Medicine in Saint Louis, Missouri. Graduated from Washington University School of Medicine in 2004, 22 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
22
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 S Brentwood Blvd Div Neurology Sleep Med Ste 600
Saint Louis, MO 63144-1320
Phone: (314) 362-1408
Fax: (314) 747-4342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2009014878 (MO)
Pediatric Sleep Medicine Physician Taxonomy 2080S0012X · Licence 2009014878 (MO)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 2009014878 (MO)

Record details

NPI number1992914352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySLEEP MEDICINE
Also practisesNEUROLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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