Individual provider Active NPI

Carrie Ann Langley, PHD, DNP-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1427725670
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
296696 Issued in AZ
Practice address
1161/1181 N El Dorado PL,
Suite 203
Tucson, AZ 85715
Phone
(520) 748-7108
NPI assigned
Aug 25, 2021
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 296696 AZ Primary
Registered Nurse 163W00000X RN180794 AZ

Addresses

Primary practice location

1161/1181 N El Dorado PL,
Suite 203
Tucson, AZ 85715

Mailing address

1938 Chantilly Dr
Sierra Vista, AZ 85635-4868
Phone (520) 732-8853

Other practice location 1

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-6481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205001706 AZ Practitioner - Nurse Practitioner 7315395100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Practice addresses (Care Compare)

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383

7 Bisbee Rd
Bisbee, AZ 85603-1140
Phone (520) 432-2042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN180794AZMDRegistered Nurse
296696AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Sep 5, 2023 Accepting new patients
Bisbee Hospital Association CurrentSince Sep 5, 2023 Accepting new patients
Bisbee Hospital Association Current Accepting new patients
Mesa Verde Counseling Inc Past Accepting new patients
Copper Queen Medical Associates Douglas Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

100 W 5th St
Douglas, AZ 85607
Phone (520) 364-7659

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1427725670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CHANTILLY DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354868",
            "telephone_number": "520-732-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161/1181 N EL DORADO PL,",
            "address_2": "SUITE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-748-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cole Ave",
            "address_purpose": "LOCATION",
            "city": "Bisbee",
            "state": "AZ",
            "postal_code": "856031327",
            "country_code": "US",
            "telephone_number": "520-432-6481",
            "fax_number": "520-432-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP-PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-09-21",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "296696",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN180794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.