Active NPI
Audrey Okun-Langlais, D.O.
- Family Medicine Physician
- Kennebunk, ME
National Provider Identifier
1194701565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1289
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275120099 | Medicaid | ME | |
| 30005596 | Other | NH | EDS NH MEDICAID |
| 610009002 | Other | ME | CIGNA |
| 30005596 | Medicaid | NH | |
| 099517 | Other | ME | ANTHEM |
| 080104234 | Other | ME | MEDICARE RR |
| E35303 | Other | ME | HARVARD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000569 | ME | Practitioner - Family Practice | 2264475813 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1289 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of New England | Family Medicine | Past | Accepting new patients |
| Jonathan Shill MD | Family Medicine | Past | 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.
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1043615453
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1699752055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.