NPIMap

Individual provider Active NPI

Nicole Marie Lang, APRN

  • Family Nurse Practitioner
  • Franklin, NH
National Provider Identifier
1407130784
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
077550-23 Issued in NH
Practice address
880 Central St Ste K
Franklin, NH 03235-2040
Phone
(603) 224-3388
Fax
(603) 227-7536
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170910 VA
Family Nurse Practitioner 363LF0000X RN2310958 MA
Family Nurse Practitioner 363LF0000X 077550-23 NH Primary

Addresses

Primary practice location

880 Central St Ste K
Franklin, NH 03235-2040

Mailing address

880 Central St Ste K
Franklin, NH 03235-2040
Phone (603) 224-3388

Other names 1

  • Nicole Marie Moore Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030002943 NH Practitioner - Nurse Practitioner 2264607753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

60 Commercial St
Suite 404
Concord, NH 03301-5096
Phone (603) 228-1763

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306
  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2310958MAMDFamily Nurse Practitioner
077550-23NHMDFamily Nurse Practitioner
0024170910VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Current Accepting new patients
Heritage Health Center Inc Past Accepting new patients

Locations

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Ste G2
Concord, NH 03301
Phone (603) 224-3388

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1407130784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CENTRAL ST STE K",
            "city": "FRANKLIN",
            "state": "NH",
            "postal_code": "032352040",
            "telephone_number": "603-224-3388",
            "fax_number": "603-227-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CENTRAL ST STE K",
            "city": "FRANKLIN",
            "state": "NH",
            "postal_code": "032352040",
            "telephone_number": "603-224-3388",
            "fax_number": "603-227-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2310958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "077550-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MOORE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, NH

Sources for this page

Verify at the official NPI Registry.