Individual provider Active NPI

Jenalisa Corinne Langford

  • Registered Nurse
  • Dayton, OH
National Provider Identifier
1487282661
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.354369 Issued in OH
Practice address
2200 Miami Valley Dr
Dayton, OH 45459-4783
Phone
(937) 668-7873
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.354369 OH Primary

Addresses

Primary practice location

2200 Miami Valley Dr
Dayton, OH 45459-4783

Mailing address

2200 Miami Valley Dr
Dayton, OH 45459-4783
Phone (937) 668-7873

Other identifiers 1

IdentifierTypeStateIssuer
0178903MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.354369OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare LLC CurrentSince Apr 5, 2020 Accepting new patients
The Hospice of Dayton, Inc. PastSince Apr 5, 2020 Accepting new patients

Locations

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1487282661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MIAMI VALLEY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594783",
            "telephone_number": "937-668-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MIAMI VALLEY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594783",
            "telephone_number": "937-668-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "JENALISA",
        "middle_name": "CORINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.354369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.