Active NPI
Robert Breck Lang, FNP
- Family Nurse Practitioner
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30040
- Practice address
- 2020 Westland Dr SW
Cleveland, TN 37311-8163 - Phone
- (423) 478-1970
- NPI assigned
- Sep 15, 2021
- Last updated
- Oct 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30040 | TN | Primary |
Addresses
Primary practice location
2020 Westland Dr SW
Cleveland, TN 37311-8163
Mailing address
2020 Westland Dr SW
Cleveland, TN 37311-8163
Phone (423) 478-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30040 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocoee Regional Health Corporation | Current | Accepting new patients | |
| Ocoee Regional Health Corporation | Current | Accepting new patients | |
| Ocoee Regional Health Corporation | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| FPSC, PLLC | Current | Accepting new patients | |
| Ocoee Regional Health Corporation | Current | Accepting new patients |
Locations
1021 Executive Dr
Ste 102
Hixson, TN 37343
Phone (423) 531-3398
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
9219 Lee Hwy
Ste 103
Ooltewah, TN 37363
Phone (423) 531-3398
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- breck.lang.1@24113.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Hixson, TN
- NPI 1841744810
-
dba Grundy County Primary Care Center
- Federally Qualified Health Center (FQHC)
- Coalmont, TN
- NPI 1902010770
-
dba Cleveland Family Health Care Center
- Federally Qualified Health Center (FQHC)
- Cleveland, TN
- NPI 1245442169
-
- Federally Qualified Health Center (FQHC)
- Benton, TN
- NPI 1386857381
-
dba Rhea County Middle School
- Federally Qualified Health Center (FQHC)
- Evensville, TN
- NPI 1558931915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1023788635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 WESTLAND DR SW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373118163",
"telephone_number": "423-478-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 WESTLAND DR SW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373118163",
"telephone_number": "423-478-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "ROBERT",
"middle_name": "BRECK",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.