Individual provider Active NPI

Kimberly Ann Langub, APRN/MASTER OF SCIEN

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1457738882
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009348 Issued in KY
Practice address
2010 Cumberland Avenue
Middlesboro, KY 40965
Phone
(606) 242-2077
Fax
(606) 242-2027
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009348 KY Primary

Addresses

Primary practice location

2010 Cumberland Avenue
Middlesboro, KY 40965

Mailing address

525 Tucker Dr
Maysville, KY 41056-9182
Phone (606) 759-9921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180129000319 TN Practitioner - Nurse Practitioner 8325346919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Servolution Health Services Inc CurrentSince Sep 11, 2017 Accepting new patients

Locations

181 Powell Valley School Ln
#L
Speedwell, TN 37870

181 Powell Valley School Ln
#1
Speedwell, TN 37870

181 Powell Valley School Ln
Speedwell, TN 37870
Phone (423) 419-5070

Interoperability endpoints

  • Direct secure messaging: kimberly.langub.1@19246.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19246/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1457738882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569182",
            "telephone_number": "606-759-9921",
            "fax_number": "606-759-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CUMBERLAND AVENUE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-242-2077",
            "fax_number": "606-242-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGUB",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN/MASTER OF SCIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.