Individual provider Active NPI

Kristina Langley, FNP-C

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1992319594
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027331 Issued in OH
Practice address
48462 Bell School Rd Ste a
East Liverpool, OH 43920-9625
Phone
(724) 773-3404
Fax
(724) 770-7939
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 107097 WV
Family Nurse Practitioner 363LF0000X SP022301 PA
Family Nurse Practitioner 363LF0000X APRN.CNP.0027331 OH Primary

Addresses

Primary practice location

48462 Bell School Rd Ste a
East Liverpool, OH 43920-9625

Mailing address

48462 Bell School Rd Ste a
East Liverpool, OH 43920-9625
Phone (724) 773-3404

Other practice location 1

14830 Cannons Mill Rd
East Liverpool, OH 43920-8777
Phone (304) 479-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201209002778 OH Practitioner - Nurse Practitioner 3476965849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Immediate Care LLCGroup PAC ID 7315289121, 6 clinicians

Practice addresses (Care Compare)

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027331OHMDFamily Nurse Practitioner
SP022301PAMDFamily Nurse Practitioner
107097WVMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kristinal@ondemand.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1992319594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "724-773-3404",
            "fax_number": "724-770-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "724-773-3404",
            "fax_number": "724-770-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14830 Cannons Mill Rd",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439208777",
            "country_code": "US",
            "telephone_number": "304-479-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "KRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107097",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.