Tina-Marie A Liburd, NAIL TECHNICIAN

Primary specialty

TechnicianTaxonomy code 374700000X

License

FV9640664 Issued in FL

Practice address

23138 Rainbow Rd
Boca Raton, FL 33428-5620

Phone

(954) 696-4418

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1003689258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8155",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330758155",
            "telephone_number": "954-696-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23138 RAINBOW RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285620",
            "telephone_number": "954-696-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBURD",
        "first_name": "TINA-MARIE",
        "middle_name": "A",
        "credential": "NAIL TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": "FL",
            "license": "FV9640664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaorong Li
• Liberty Medical Supply LLC
• Nick Libian, DC, MS
• Mark Libow, M.D.
• Lawrence Russell Libsch, MD
• Jessica Licalzi
• Alexandra Licata, PSYD
• License to Inject, PLLC
• Jeremy Jay Lichaa
• Jacqueline Henri Lichtenstein

• Technician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.