Active NPI
Amber L Lange, NP
- Women's Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1902188980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 421043
- Practice address
- 62 Hackett Blvd
Suite 2
Albany, NY 12209-1756 - Phone
- (518) 465-3318
- NPI assigned
- Sep 15, 2011
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 421043 | NY | Primary |
Addresses
Primary practice location
62 Hackett Blvd
Suite 2
Albany, NY 12209-1756
Mailing address
62 Hackett Blvd
Suite 2
Albany, NY 12209-1756
Phone (518) 465-3318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421043 | Other | NY | NYS LICENSE # |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421043 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1902188980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 HACKETT BLVD",
"address_2": "SUITE 2",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091756",
"telephone_number": "518-465-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 HACKETT BLVD",
"address_2": "SUITE 2",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091756",
"telephone_number": "518-465-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "AMBER",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "421043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE #",
"identifier": "421043",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.