Heather Leeann Langdon

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-076049 Issued in AL

Practice address

119 Stephen J White Mem Blvd
Talladega, AL 35160

Phone

(256) 268-7775

NPI assigned

Jul 12, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Hals Help

  • Counselor
  • Arab, AL
  • NPI 1083194336

  Single Specialty

  Medicare reassignment NPD
• Kids Clinic Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Talladega, AL
  • NPI 1154810224

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1801468772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINDWARD LOOP",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362712800",
            "telephone_number": "256-485-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 STEPHEN J WHITE MEM BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-268-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 McClellan Blvd",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362012132",
            "country_code": "US",
            "telephone_number": "256-236-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "HEATHER",
        "middle_name": "LEEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-076049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX",
            "identifier": "9721",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids Health Inc.
• Michelle Alicia King, RN
• Michael Joseph Kulovitz, D.M.D.
• Landmark Nephrology & Hypertension Clinic. P.C
• Kelsey Turner Langdale, FNP-BC
• Anthony Lessa, MD
• Lift My Soul Therapy Solutions, LLC
• Candace Lovelace
• Jennifer Norwood Luty, NCC
• Jessica Massey, C.R.N.P

• Primary Care Nurse Practitioner in Talladega, AL
• Providers in Talladega, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.