SCARLETT LONG (NPI# 1003414020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003414020 |
| Entity Type | Individual |
| Full Name | SCARLETT LONG |
| Practice Address |
590 Nw 1751st Rd Kingsville MO 64061-9169 |
| Practice Telephone | 8165728763 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2020014418 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2020014418 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174797922 | Scarlett Long | Speech-Language Pathologist | 5413 W Kingshighway, Paragould, AR 72450-3368 | 2008-04-14 |
| Street Address |
590 NW 1751ST RD |
| City | KINGSVILLE |
| State | MO |
| Zip Code | 64061-9169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405035 | Western Johnson County Medical Clinic | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-05-18 |
| 1720370232 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2011-05-03 |
| 1518269257 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2010-12-01 |
| 1073754768 | Wendy Shalene Blaylock | Social Worker | 305 E Pacific St, Kingsville, MO 64061-2512 | 2009-03-10 |
| 1801952833 | Western Johnson County Medical Clinic LLC | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-12-27 |
| 1396845020 | Kristin Anstine | Nurse Practitioner | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-09-23 |
| 1376984153 | Kimberly Ann Smith | Speech-Language Pathologist | 15612 Hadsell Rd, Kingsville, MO 64061-9007 | 2013-07-09 |
| 1952705444 | Country Crossroads Counseling | Community/Behavioral Health | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2014-10-13 |
| 1457984379 | Jessica Janis | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2020-02-19 |
| 1093205908 | Mandy Greene | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2018-05-16 |
| Find all providers in zip 64061 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
| City | KINGSVILLE |
| Zip Code | 64061 |
Please comment or provide details below to improve the information on SCARLETT LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.