Individual provider Active NPI

Kelly Liang, NP

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1013771922
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031910 Issued in FL
Practice address
3450 Lantana Rd Ste 100
Lake Worth, FL 33462-1304
Phone
(561) 965-1864
Fax
(561) 967-5005
NPI assigned
Feb 12, 2024
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11031910 FL Primary

Addresses

Primary practice location

3450 Lantana Rd Ste 100
Lake Worth, FL 33462-1304

Mailing address

3450 Lantana Rd Ste 100
Lake Worth, FL 33462-1304
Phone (561) 965-1864

Other practice location 1

12993 Southern Blvd Ste B
Loxahatchee, FL 33470-9215
Phone (561) 793-0106

Other practice location 2

2300 S Congress Ave Ste 103
Boynton Beach, FL 33426-7400
Phone (561) 732-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031002916 FL Practitioner - Nurse Practitioner 5395234082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3450 Lantana Rd
Suite 100
Lake Worth, FL 33462-1304

424 Church St
Suite 2400
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11031910FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates of the Palm Beaches CurrentSince Oct 6, 2025 Accepting new patients
Hematology Oncology Associates of the Palm Beaches Current Accepting new patients
Hematology Oncology Associates of the Palm Beaches CurrentSince Oct 6, 2025 Accepting new patients

Locations

2300 S Congress Ave
Ste 103
Boynton Beach, FL 33426
Phone (561) 732-2440

3450 Lantana Rd
Ste 100
Lake Worth, FL 33462
Phone (561) 965-1864

12993 Southern Blvd
Ste B
Loxahatchee, FL 33470
Phone (561) 784-3700

4685 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 965-1864

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1013771922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LANTANA RD STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621304",
            "telephone_number": "561-965-1864",
            "fax_number": "561-967-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LANTANA RD STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621304",
            "telephone_number": "561-965-1864",
            "fax_number": "561-967-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12993 Southern Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709215",
            "country_code": "US",
            "telephone_number": "561-793-0106",
            "fax_number": "561-793-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 S Congress Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334267400",
            "country_code": "US",
            "telephone_number": "561-732-2440",
            "fax_number": "561-732-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIANG",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.