Active NPI
Debra Ann Langham, FNP
- Family Nurse Practitioner
- Fairhope, AL
National Provider Identifier
1306893771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-068411
- Practice address
- 750 Morphy Avenue
Fairhope, AL 36533 - Phone
- (251) 279-1605
- Fax
- (251) 279-1606
- NPI assigned
- May 30, 2006
- 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 Nurse Practitioner | 363LF0000X | 1-068411 | AL | Primary |
Addresses
Primary practice location
750 Morphy Avenue
Fairhope, AL 36533
Mailing address
750 Morphy Avenue
Fairhope, AL 36533
Phone (251) 279-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 632000009 | Medicaid | AL |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-068411 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico Familiar /Family Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Foley, AL
- NPI 1275774721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1306893771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MORPHY AVENUE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36533",
"telephone_number": "251-279-1605",
"fax_number": "251-279-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVENUE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36533",
"telephone_number": "251-279-1605",
"fax_number": "251-279-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHAM",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-068411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "632000009",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.