{
"Npi": {
"NPI": "1083019228",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LANGDALE",
"FirstName": "RITA",
"MiddleName": "D",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LCSW, RD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HARRISON",
"OtherFirstName": "RTIA",
"OtherMiddleName": "D",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2033 E EDGEWOOD DR STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKELAND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33803-3660",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-712-0877",
"MailingAddressFaxNumber": "863-777-5412",
"FirstLinePracticeLocationAddress": "2033 E EDGEWOOD DR STE 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKELAND",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33803-3660",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-712-0877",
"PracticeLocationAddressFaxNumber": "863-777-5412",
"EnumerationDate": "10/30/2014",
"LastUpdateDate": "01/26/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "SW16714",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": "ND6621",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}