Provider Demographics
NPI:1700299047
Name:LANGLEY, BECKY (NNP-BC, CRNP)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:NNP-BC, CRNP
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:GATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-5258
Mailing Address - Fax:319-356-4685
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-5258
Practice Address - Fax:319-356-4685
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP032299363L00000X
TXAP124480363LN0005X
IAK181785363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752616977042OtherTRICARE
TX8643NWOtherBCBS
TX359405301Medicaid
TXP01681637OtherRAIL ROAD MEDICARE
TX8643NWOtherBCBS