EVELYN LONG (NPI# 1013529700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013529700 |
| Entity Type | Individual |
| Full Name | EVELYN LONG |
| Credential | RN |
| Practice Address |
12500 E Roger Rd Tucson AZ 85749-8487 |
| Practice Telephone | 4103533304 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN197866 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376096438 | Evelyn Marie Long | Counselor | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2016-07-25 |
| Street Address |
12500 E ROGER RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-8487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821968 | Mallory Leigh Ketterer | Registered Nurse | 7837 N Box Camp Pl, Tucson, AZ 85743-5545 | 2020-11-06 |
| 1598378994 | Marie Reina Andriopoulos | Registered Nurse | 7751 E Big Meadow Dr, Tucson, AZ 85756-6160 | 2020-08-25 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1326505173 | Tana Jay Shields | Registered Nurse | 5877 W Yuma Mine Cir, Tucson, AZ 85743-9717 | 2019-02-28 |
| 1902363880 | Ammon Brimhall | Registered Nurse | 4550 E 16th St, Tucson, AZ 85711-4230 | 2019-02-27 |
| 1487255063 | Brooke Holtzen | Registered Nurse | 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | 2020-11-02 |
| 1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1184236531 | Jeremiah James Palicka | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-18 |
| 1356953665 | Emma Muter | Registered Nurse | 1305 N Martin Avenue, Tucson, AZ 85721-0001 | 2020-08-18 |
| Find all providers in TUCSON | ||||
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| 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.