Kelsie Moinzadeh Lange

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F359241-01 Issued in NY

Practice address

939 Route 146 Ste 700
Clifton Park, NY 12065-3662

Phone

(518) 383-0891

NPI assigned

Aug 26, 2026

Last updated

Aug 26, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Care Physicians, PC

  dba CapitalCare Family Practice Clifton Park

  • Family Medicine Physician
  • Clifton Park, NY
  • NPI 1366723082
  NPD (past)
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1508773292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CYPRESS ST",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 700",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-383-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KELSIE",
        "middle_name": "MOINZADEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F359241-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Desiree Lajeunesse, R.N.
• Mindy E Lam, D.P.M.
• Kelly Lanahan, LCSW
• Jessica Lane, MS LBA, BCBA
• Jason F Lange, D.O.
• Julie Lapham, LMHC
• Sydney Larmour, PHARMD
• Lashondia Adams Nurse Practitioner in Psychiatry, PLLC (eunoia Wellness Collective)
• Martha A Laswell, PT
• Olivia Laurange, M.S.ED.

• Family Nurse Practitioner in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.