Healthcare Provider Details

I. General information

NPI: 1699424598
Provider Name (Legal Business Name): MEREDITH MARIE LANGGUTH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E HIGHLAND MALL BLVD STE 305
AUSTIN TX
78752-3731
US

IV. Provider business mailing address

13200 JENNER LN
AUSTIN TX
78729-7456
US

V. Phone/Fax

Practice location:
  • Phone: 512-807-0640
  • Fax:
Mailing address:
  • Phone: 512-969-1473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0102658-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number901016
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1089528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: