Stacy Gene Langnes, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN00131781 Issued in WA

Practice address

5197 NW Lower River Rd
Vancouver, WA 98660-1013

Phone

(360) 205-1222

Fax

(360) 469-1720

NPI assigned

Apr 14, 2020

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Gene Phinney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lifeline Connections

  • Substance Abuse Rehabilitation Facility
  • Vancouver, WA
  • NPI 1689892473
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1225657752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 NE 39TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611764",
            "telephone_number": "360-723-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5197 NW LOWER RIVER RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601013",
            "telephone_number": "360-205-1222",
            "fax_number": "360-469-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGNES",
        "first_name": "STACY",
        "middle_name": "GENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN00131781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "PHINNEY",
            "middle_name": "GENE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane M Langer, LCSW
• Kyra Langer
• Leia Langhoff, D.O.
• Tawny Langin
• Echo Denise Langley, RN
• Langsdorf Dahlen PLLC
• Langsdorf PS
• Jay K Langsdorf, DMD
• Mariah Mae Langton
• Language Fusion LLC

• Addiction (Substance Use Disorder) Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.