Individual provider Active NPI

Thu Tang, APRN

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1124717525
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11047121 Issued in FL
Practice address
2314 S Seacrest Blvd Ste 102
Boynton Beach, FL 33435-6788
Phone
(561) 735-7766
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN9407906 FL
Nurse Practitioner 363L00000X APRN11047121 FL Primary

Addresses

Primary practice location

2314 S Seacrest Blvd Ste 102
Boynton Beach, FL 33435-6788

Mailing address

4402 Cohune Palm CT
Greenacres, FL 33463-9329
Phone (561) 715-5772

Other practice location 1

4402 Cohune Palm Ct
Greenacres, FL 33463-9329
Phone (561) 715-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9407906FLMDRegistered Nurse First Assistant
APRN11047121FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1124717525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 COHUNE PALM CT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334639329",
            "telephone_number": "561-715-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S SEACREST BLVD STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356788",
            "telephone_number": "561-735-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Cohune Palm Ct",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334639329",
            "country_code": "US",
            "telephone_number": "561-715-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "THU",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9407906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11047121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.