Active NPI
Teresa Ivey Langley, ARNP
- Pediatric Nurse Practitioner
- Ruskin, FL
National Provider Identifier
1992951578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP3166662
- Practice address
- 2814 14TH Ave SE
Ruskin, FL 33570-5471 - Phone
- (813) 349-7800
- Fax
- (813) 349-7861
- NPI assigned
- Aug 14, 2008
- Last updated
- Sep 11, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP3166662 | FL | Primary |
Addresses
Primary practice location
2814 14TH Ave SE
Ruskin, FL 33570-5471
Mailing address
13110 Elk Mountain Dr
Riverview, FL 33579-7182
Phone (813) 349-7568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302065700 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Past | Accepting new patients | |
| Suncoast Community Health Centers Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Ruskin Health Center
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1285644799
-
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1104836600
-
dba Tom Lee Community Health Center
- Federally Qualified Health Center (FQHC)
- Dover, FL
- NPI 1144230640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1992951578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13110 ELK MOUNTAIN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797182",
"telephone_number": "813-349-7568",
"fax_number": "813-349-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 14TH AVE SE",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335705471",
"telephone_number": "813-349-7800",
"fax_number": "813-349-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGLEY",
"first_name": "TERESA",
"middle_name": "IVEY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP3166662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302065700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.