Kelly Chen Liao, NP, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP 11745 Issued in CA

Practice address

1245 16TH St
Santa Monica, CA 90404-1235

Phone

(310) 453-9010

NPI assigned

Jun 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Chen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144426297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 WELLWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041235",
            "telephone_number": "310-453-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "KELLY",
        "middle_name": "CHEN",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP 11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CHEN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas Li, MD
• Rebecca Li
• Xiuxia Li
• Cynthia Liang, D.P.T.
• Jessica Liao, M.D.
• Victoria Wan Tsyr Liao, DOC OF CHIRO LIC ACU
• Maryam Liaqat, M.D.
• Andrew Liberman
• Sara Lichstein, MA LMFT
• Lisa Lichtenstein, MFT

• Pediatric Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.