=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780571646
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATHERINE RAINHA LANGBERG CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2025
-----------------------------------------------------
Last Update Date | 08/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 79 RIGBY RD
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01523-1703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-460-0620
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 79 RIGBY RD
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01523-1703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-460-0620
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | RN2295214
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------