Kerri M. Langevin, MSN, APRN, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000883 Issued in CT

Practice address

1 Forest Park Dr
Farmington, CT 06032-1487

Phone

(860) 677-1112

Fax

(860) 674-9442

NPI assigned

Jan 23, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1427235373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321487",
            "telephone_number": "860-677-1112",
            "fax_number": "860-674-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321487",
            "telephone_number": "860-677-1112",
            "fax_number": "860-674-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "KERRI",
        "middle_name": "M.",
        "credential": "MSN, APRN, PNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004150108",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alden Landry
• Arthur Bernard Landry IV, MD
• Brian N. Landry, PA
• Eric Joshua Landsberg, MD
• Crystal Lane, L.AC
• Jennifer O'Loughlin Langstengel, M.D.
• Cintia Lantmann Guimaraes Echel, DDS
• Kyliee Brooke Lapham, DC
• Jennifer Rose Laptew, LPC, M.ED.
• Laura Larrea Mantilla, M.D.

• Pediatric Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.