Healthcare Provider Details

I. General information

NPI: 1700299047
Provider Name (Legal Business Name): BECKY LANGLEY NNP-BC, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BECKY GATHERS

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E BROADWAY AVE
BISMARCK ND
58501-4520
US

IV. Provider business mailing address

900 E BROADWAY AVE
BISMARCK ND
58501-4520
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-7000
  • Fax:
Mailing address:
  • Phone: 701-530-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP032299
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP124480
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: