Active NPI
Kristen H Langille, CRNP
- Adult Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1225303449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP011935
- Practice address
- 1930 S Broad St
Suite 103
Philadelphia, PA 19145-2328 - Phone
- (215) 339-4400
- Fax
- (610) 271-9528
- NPI assigned
- Mar 21, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP011935 | PA | Primary |
Addresses
Primary practice location
1930 S Broad St
Suite 103
Philadelphia, PA 19145-2328
Mailing address
1930 S Broad St
Suite 103
Philadelphia, PA 19145-2328
Phone (215) 339-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mercy.life.of.pennsylvania@trinityhealthpa.medicity.net | 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)
- Enrolled
- Credentials
- Certified Registered Nurse
Interoperability endpoints
- klangille2127415@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1225303449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 S BROAD ST",
"address_2": "SUITE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452328",
"telephone_number": "215-339-4400",
"fax_number": "610-271-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 S BROAD ST",
"address_2": "SUITE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452328",
"telephone_number": "215-339-4400",
"fax_number": "610-271-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGILLE",
"first_name": "KRISTEN",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP011935",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mercy.life.of.pennsylvania@trinityhealthpa.medicity.net",
"affiliation": "N",
"endpointDescription": "MercyLife Broad Street",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1930 S Broad St",
"address_2": "Suite 103",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191452328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.