Individual provider Active NPI

Mindy Langlois, MA, ATC, CSCS, ITAT

  • Athletic Trainer
  • Homestead, FL
National Provider Identifier
1114565967
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
003118 Issued in NY
Practice address
29401 SW 125TH Ave Building 741
Homestead, FL 33039-1615
Phone
(616) 638-1357
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 003118 NY Primary

Addresses

Primary practice location

29401 SW 125TH Ave Building 741
Homestead, FL 33039-1615

Mailing address

29401 SW 125TH Ave Building 600
Homestead, FL 33039-0001

Other practice location 1

727 Brewerton Rd
West Point, NY 10996-1615
Phone (616) 638-1357

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mindy.r.langlois@socom.mil Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
003118NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1114565967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29401 SW 125TH AVE BUILDING 600",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330390001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29401 SW 125TH AVE BUILDING 741",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330391615",
            "telephone_number": "616-638-1357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Brewerton Rd",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NY",
            "postal_code": "109961615",
            "country_code": "US",
            "telephone_number": "616-638-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "MINDY",
        "credential": "MA, ATC, CSCS, ITAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mindy.r.langlois@socom.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "29401 SW 125th Ave Building 741",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330390001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.