Active NPI
Kimberly Langen
- Nurse Practitioner
- Plantation, FL
National Provider Identifier
1770022683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9278234
- Practice address
- 9611 W Broward Blvd
Plantation, FL 33324-2334 - Phone
- (954) 924-7000
- NPI assigned
- Feb 13, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9278234 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN9278234 | FL | |
| Nurse Practitioner | 363L00000X | APRN9278234 | FL | Primary |
Addresses
Primary practice location
9611 W Broward Blvd
Plantation, FL 33324-2334
Mailing address
4792 Coquina Key Dr SE
Saint Petersburg, FL 33705-4813
Other practice location 1
4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596
Phone (904) 642-6100
Other practice location 2
7500 Park Blvd N
Pinellas Park, FL 33781-3701
Phone (727) 544-5437
Other practice location 3
11260 Sullivan St
Riverview, FL 33578-2140
Phone (813) 689-7571
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9278234 | FL | MD | Family Medicine Physician |
| APRN9278234 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Past | Accepting new patients | |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Pinellas Park, FL
- NPI 1528633997
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1578640181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1770022683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4792 COQUINA KEY DR SE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337054813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242334",
"telephone_number": "954-924-7000"
}
],
"practiceLocations": [
{
"address_1": "4972 Town Center Pkwy Unit 301",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468596",
"country_code": "US",
"telephone_number": "904-642-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7500 Park Blvd N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337813701",
"country_code": "US",
"telephone_number": "727-544-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11260 Sullivan St",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335782140",
"country_code": "US",
"telephone_number": "813-689-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGEN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "9278234",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9278234",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9278234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.