Individual provider Active NPI

Modesta Guillermina Liriano Caba

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1407632656
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028419 Issued in FL
Practice address
1210 E Osceola Pkwy Ste 201
Kissimmee, FL 34744-1621
Phone
(321) 422-2303
NPI assigned
Sep 5, 2023
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 11028419 FL Primary

Addresses

Primary practice location

1210 E Osceola Pkwy Ste 201
Kissimmee, FL 34744-1621

Mailing address

1210 E Osceola Pkwy Ste 201
Kissimmee, FL 34744-1621
Phone (407) 452-8466

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1210 E Osceola Pkwy
Suite 201
Kissimmee, FL 34744-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11028419FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Clinical Inc. CurrentSince Nov 19, 2023 Accepting new patients

Locations

1327 Winter Garden Vineland Rd
Ste 130
Winter Garden, FL 34787
Phone (321) 422-2303

2699 Lee Rd
Ste 304
Winter Park, FL 32789
Phone (407) 348-1780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEGCCD

Organizations & group practices 1

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1407632656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "407-452-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "321-422-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRIANO CABA",
        "first_name": "MODESTA",
        "middle_name": "GUILLERMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.