Individual provider Active NPI

Ketty Letang, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1598210858
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9231356 Issued in FL
Practice address
12989 Southern Blvd Ste 202
Loxahatchee, FL 33470-9291
Phone
(877) 412-7272
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9231356 FL Primary
Family Nurse Practitioner 363LF0000X APRN9231356 FL

Addresses

Primary practice location

12989 Southern Blvd Ste 202
Loxahatchee, FL 33470-9291

Mailing address

6586 Hypoluxo Rd Ste 334
Lake Worth, FL 33467-7678
Phone (877) 412-7272

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kettyletangAPRN@mhccaremail.com Direct

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
I20170509001654 FL Practitioner - Nurse Practitioner 7012294614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCMD Pain Management PLLCGroup PAC ID 3678646528, 5 clinicians

Practice addresses (Care Compare)

7408 Lake Worth Rd
Lake Worth Surgical Center
Lake Worth, FL 33467-2502
Phone (561) 433-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9231356FLMDFamily Nurse Practitioner
APRN9231356FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BCMD Pain Management PLLC CurrentSince Sep 11, 2020 Accepting new patients
Advanced Medical Clinic P.a CurrentSince Feb 7, 2017 Accepting new patients
Eastside Hospitalists Inc CurrentSince Jun 14, 2018 Accepting new patients
Cameron Spine LLC CurrentSince Sep 11, 2020 Accepting new patients

Locations

6056 W Boynton Beach Blvd
Ste 175
Boynton Beach, FL 33437
Phone (561) 572-2024

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5700 Stirling Rd
Ste 100
Hollywood, FL 33021
Phone (305) 396-3858

6586 Hypoluxo Rd
Lake Worth, FL 33467
Phone (561) 248-8900

7408 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 370-1320

12989 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 753-7487

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

3347 S State Road 7
Ste 206
Wellington, FL 33449
Phone (561) 283-0381

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: kettyletangaprn@mhccaremail.com
  • Direct secure messaging: lmckletan@yourcarecommunity.org

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1598210858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD STE 334",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "877-412-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD STE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709291",
            "telephone_number": "877-412-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETANG",
        "first_name": "KETTY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9231356",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9231356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kettyletangAPRN@mhccaremail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12989 Southern Blvd Ste 202",
            "city": "Loxahatchee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334709291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.