SHANNON MILLSAPS LANG (NPI# 1265803399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803399 |
| Entity Type | Individual |
| Full Name | SHANNON MILLSAPS LANG |
| Other Name | SHANNON WATTS |
| Credential | RN, MSN, AGACNP-BC |
| Practice Address |
2711 Randolph Rd Ste 400 Charlotte NC 28207-2027 |
| Mailing Address |
1300 Baxter St Ste 215 Charlotte NC 28204-3801 |
| Practice Telephone | 7043482992 |
| Practice Fax Number | 7049710035 |
| Mailing Telephone | 7043320396 |
| Mailing Fax Number | 7049710035 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5008025 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134407505 | Shannon Lang | Physical Therapist | 3707 Katalin Court, Bay City, MI 48706-2161 | 2011-08-02 |
| 1750520375 | Shannon Lang | Social Worker | 1255 Whitehorse Mercerville Rd, Bldg. B Suites 504-505, Hamilton, NJ 08619-3800 | 2009-02-05 |
| Street Address |
2711 RANDOLPH RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144247750 | Adit S Mahale | Internal Medicine | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2006-07-17 |
| 1750922118 | Vidhi Kishor Patel | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2019-10-07 |
| 1346752375 | Dianne Sinclair Audette | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2017-10-31 |
| 1780031971 | Andrew Joseph Norris | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2016-05-18 |
| 1902292667 | Emily Simoneau | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2015-04-09 |
| 1952423006 | Julie Beth Peterson | Nurse Practitioner | 2711 Randolph Rd Ste 400, Charlotte, NC 28207-2027 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1558922096 | Nateka Austin | Nurse Practitioner | 5300 Fair Wind Ln, Charlotte, NC 28212-2223 | 2019-06-25 |
| 1073957205 | Gabrielle Picard | Nurse Practitioner | 228 Westinghouse Blvd, 104, Charlotte, NC 28273-6230 | 2013-04-18 |
| 1326204280 | Nicole M Bentivegna | Nurse Practitioner | 3125 Springbank Ln Ste A, Charlotte, NC 28226-3379 | 2008-07-31 |
| 1093831307 | David Wayne Unkle | Nurse Practitioner | 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 | 2007-03-21 |
| 1578544409 | Mary Motley Hatchett | Nurse Practitioner | 10926 David Taylor Dr Ste 120s, Charlotte, NC 28262-1293 | 2005-11-08 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1659852028 | Corinne Arlene Worth | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2018-08-23 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on SHANNON MILLSAPS LANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.