Individual provider Active NPI

Lydia Michelle Langston, WHNP

  • Women's Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1801138961
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN9442904 Issued in FL
Practice address
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Phone
(850) 416-2400
Fax
(850) 416-2467
NPI assigned
Mar 26, 2013
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN9442904 FL Primary

Addresses

Primary practice location

5045 Carpenter Creek Dr
Pensacola, FL 32503-2521

Mailing address

PO Box 2699
Attn: SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 416-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170823002553 FL Practitioner - Nurse Practitioner 3577865534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, shared by 6 NPIs, 373 clinicians

Practice addresses (Care Compare)

2156 W Nine Mile Rd
Pensacola, FL 32534-9464
Phone (850) 416-2433

5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Phone (850) 416-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Sacred Heart Health System Inc CurrentSince Dec 1, 2017 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

1399 Country Club Rd
Gulf Breeze, FL 32563
Phone (850) 416-4709

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2156 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-2433

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

5153 N 9th Ave
Ste 205
Pensacola, FL 32504
Phone (850) 416-2550

Interoperability endpoints

  • Direct secure messaging: lydia.langston.2@9582.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1801138961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "ATTN: SHMG/HPE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 CARPENTER CREEK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032521",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "LYDIA",
        "middle_name": "MICHELLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9442904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.