Roxie Lou Lange, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1286234 Issued in MN

Practice address

10467 93Rd Ave N
Maple Grove, MN 55369-4112

Phone

(651) 488-4655

Fax

(651) 488-4656

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1609419589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655",
            "fax_number": "651-488-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655",
            "fax_number": "651-488-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "ROXIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1286234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rlange@regencyhhc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10467 93rd Ave N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553694112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bonnie Gail Landrum, MD
• Sarah Marie Lane, PA
• Michele Marie Laney, LMFT
• Lang Wieber O.D., P.a.
• Angie Lange, SLP
• Vanessa Lange, PA-C
• Janis Langsdale
• Beth A Larson, LP (PSYCHOLOGIST)
• Brandon Bruce Larson, OD
• Crystal Larson

• Registered Nurse in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.