Nicole Lange, LAC MAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1377 Issued in MN

Practice address

2615 Park Ave
Suite B4
Minneapolis, MN 55407-1035

Phone

(612) 423-9986

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By 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)

Not enrolled

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1699127340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 35TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062113",
            "telephone_number": "612-423-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PARK AVE",
            "address_2": "SUITE B4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071035",
            "telephone_number": "612-423-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LAC MAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lange, CNP
• Amy S Lange, CNM
• Emma Lange, MA, LPCC
• Jill Marie Lange, CRNA
• Katharine Rae Lange, MD
• Tamara S Langeberg, NP
• Timothy J Langemo, CRNA
• Frederick G Langendorf, MD
• Adam David Langenfeld, M.D., PH.D.
• Amy Elizabeth Langenfeld, CNM

• Acupuncturist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.