Kathryn Bondi Liddell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107764 Issued in FL

Practice address

4701 N Federal Hwy Ste 370
Pompano Beach, FL 33064-6550

Phone

(954) 941-5731

Fax

(954) 941-2706

NPI assigned

Feb 11, 2014

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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Nicklaus Children's Pediatric Specialists, LLC

  dba Nicklaus Children's Pediatric Specialists - Emergency Medicine

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1356765390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 370",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646550",
            "telephone_number": "954-941-5731",
            "fax_number": "954-941-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 370",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646550",
            "telephone_number": "954-941-5731",
            "fax_number": "954-941-2706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Federal Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330621011",
            "country_code": "US",
            "telephone_number": "954-941-5731",
            "fax_number": "954-941-2706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Federal Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330621011",
            "country_code": "US",
            "telephone_number": "954-941-5731",
            "fax_number": "954-941-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "KATHRYN",
        "middle_name": "BONDI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymone Lexidor
• Lib, Inc. (Atlantic Shore Retirement Residence)
• Robert John Liberti, BS
• Liberty Medical Services
• Susan Lichtfuss, LMHC
• Lighthouse Behavior Center, LLC
• Lighthouse Family Injury Care
• Lighthouse Health Center LLC
• Lighthouse Healthcare Management North LLC
• Lighthouse Healthcare Management South LLC

• Medical Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.