Individual provider Active NPI

Linnea Muller Lang, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1669119459
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
10576 Issued in CT
Practice address
120 Main St
Danbury, CT 06810-7834
Phone
(976) 743-9760
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 10576 CT Primary

Addresses

Primary practice location

120 Main St
Danbury, CT 06810-7834

Mailing address

77 Mill Brook Ter
Monroe, CT 06468-3214
Phone (203) 231-9765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240617000740 CT Practitioner - Nurse Practitioner 6800339003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10576CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Apr 10, 2024 Accepting new patients
Connecticut Institute for Communities Inc Current Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Apr 10, 2024 Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

120 Main St
#4
Danbury, CT 06810

21 Hayestown Ave
Danbury, CT 06811
Phone (203) 797-4460

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

Interoperability endpoints

  • Direct secure messaging: linnea.lang@gdchc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1669119459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILL BROOK TER",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064683214",
            "telephone_number": "203-231-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "976-743-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "LINNEA",
        "middle_name": "MULLER",
        "credential": "MSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "10576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.