Individual provider Active NPI

Audrey Okun-Langlais, D.O.

  • Family Medicine Physician
  • Kennebunk, ME
National Provider Identifier
1194701565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1289 Issued in ME
Practice address
26 Barnard LN
Kennebunk, ME 04043-6714
Phone
(207) 502-7074
Fax
(207) 502-7079
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1289 ME Primary

Addresses

Primary practice location

26 Barnard LN
Kennebunk, ME 04043-6714

Mailing address

26 Barnard LN
Kennebunk, ME 04043-6714
Phone (207) 502-7074

Other practice location 1

4 Shape Dr
Kennebunk, ME 04043-6760
Phone (207) 467-8988

Other practice location 2

4 Shape Dr
Kennebunk, ME 04043-6760
Phone (207) 467-8988

Other identifiers 7

IdentifierTypeStateIssuer
275120099MedicaidME
30005596OtherNHEDS NH MEDICAID
610009002OtherMECIGNA
30005596MedicaidNH
099517OtherMEANTHEM
080104234OtherMEMEDICARE RR
E35303OtherMEHARVARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000569 ME Practitioner - Family Practice 2264475813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1289MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of New England Family Medicine Past Accepting new patients
Jonathan Shill MD Family Medicine PastSince Feb 19, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194701565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BARNARD LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436714",
            "telephone_number": "207-502-7074",
            "fax_number": "207-502-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BARNARD LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436714",
            "telephone_number": "207-502-7074",
            "fax_number": "207-502-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436760",
            "country_code": "US",
            "telephone_number": "207-467-8988",
            "fax_number": "207-467-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436760",
            "country_code": "US",
            "telephone_number": "207-467-8988",
            "fax_number": "207-467-8969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUN-LANGLAIS",
        "first_name": "AUDREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275120099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS NH MEDICAID",
            "identifier": "30005596",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "610009002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005596",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099517",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080104234",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "E35303",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.