Active NPI
Jaci Langham, RN, CDE
- Diabetes Educator Registered Nurse
- Arlington, TX
National Provider Identifier
1740736628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 770526
- Practice address
- 4519 Matlock Rd
Suite 135
Arlington, TX 76018-5660 - Phone
- (817) 472-8180
- Fax
- (817) 472-7910
- NPI assigned
- Aug 30, 2016
- Last updated
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 770526 | TX | Primary |
Addresses
Primary practice location
4519 Matlock Rd
Suite 135
Arlington, TX 76018-5660
Mailing address
4519 Matlock Rd
Suite 135
Arlington, TX 76018-5660
Phone (817) 472-8180
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770526 | TX | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dcoa Physicians PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1740736628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 MATLOCK RD",
"address_2": "SUITE 135",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760185660",
"telephone_number": "817-472-8180",
"fax_number": "817-472-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 MATLOCK RD",
"address_2": "SUITE 135",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760185660",
"telephone_number": "817-472-8180",
"fax_number": "817-472-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHAM",
"first_name": "JACI",
"name_prefix": "Mrs.",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "TX",
"license": "770526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.