Individual provider Active NPI

Anita Kelso Langston, APRN

  • Adult Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1699929687
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000012949 Issued in TN
Practice address
2714 Union Avenue Ext
Suite 150
Memphis, TN 38112-4436
Phone
(901) 725-0872
Fax
(901) 278-6934
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000012949 TN Primary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X APN0000012949 TN

Addresses

Primary practice location

2714 Union Avenue Ext
Suite 150
Memphis, TN 38112-4436

Mailing address

2714 Union Avenue Ext
Suite 150
Memphis, TN 38112-4436
Phone (901) 725-0872

Other identifiers 1

IdentifierTypeStateIssuer
3345599OtherTNPTAN

Other names 1

  • Anita Jo Langston Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12949TNMDPhysical Therapist
APN0000012949TNMDCritical Care Medicine Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1699929687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "ANITA",
        "middle_name": "KELSO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000012949",
            "primary": true
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "TN",
            "license": "APN0000012949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3345599",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "LANGSTON",
            "middle_name": "JO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.