ANDREA LONG (NPI# 1134375033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134375033 |
| Entity Type | Individual |
| Full Name | ANDREA LONG |
| Practice Address |
4405 Waterlily Cv Lexington KY 40515-6471 |
| Practice Telephone | 8595331577 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198186 | Andrea C Long | Pharmacist | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 | 2017-07-27 |
| 1619210853 | Andrea Lynn Long | Social Worker | 304 S Niagara St, Saginaw, MI 48602-1570 | 2013-04-05 |
| 1821385303 | Andrea Long | Social Worker | 4161 Carmichael Ave, 3300 Building, Suite 150, Jacksonville, FL 32207-2353 | 2011-07-05 |
| 1336463694 | Andrea Eileen Long | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-03-16 |
| 1851529564 | Andrea Michelle Long | Surgery | 2823 Fresno St, Fresno, CA 93721-1324 | 2009-07-01 |
| 1225193014 | Andrea Long | Speech-Language Pathologist | 4901 N Shore Dr, North Little Rock, AR 72118-5293 | 2006-12-22 |
| 1194891598 | Andrea Long | Counselor | 1805 Airline Blvd, Portsmouth, VA 23707-3912 | 2006-11-28 |
| 1194804963 | Andrea Long | Physical Therapist | 6300 Telegraph Ave, Oakland, CA 94609-1329 | 2006-11-03 |
| Street Address |
4405 WATERLILY CV |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770144362 | Melony Joy Cunningham | Case Manager/Care Coordinator | 4229 Ridgewater Dr, Lexington, KY 40515-6010 | 2019-06-25 |
| 1396215901 | Crystal Rose Wynn | Case Manager/Care Coordinator | 193 Frederick St Apt 1l, Lexington, OH 44904-1247 | 2018-11-27 |
| 1689155905 | Cassie Elizabeth Allen | Case Manager/Care Coordinator | 3337 Overbrook Dr, Lexington, KY 40502-3351 | 2018-08-24 |
| 1265939391 | Avia Dozier | Case Manager/Care Coordinator | 162 Boiling Springs Ln, Lexington, SC 29073-7682 | 2018-04-05 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1376927137 | Nicole Lawson | Case Manager/Care Coordinator | 1136 Mount Rushmore Way # A, Lexington, KY 40515-5437 | 2015-07-11 |
| 1649678657 | April Hill | Case Manager/Care Coordinator | 2244 Winterberry Dr # B, Lexington, KY 40504-3241 | 2014-12-08 |
| 1689093866 | Tove Reiman | Case Manager/Care Coordinator | 2401 Plum Creek Pkwy, Lexington, NE 68850-2813 | 2014-04-15 |
| 1801225974 | Ascential Care Partners, LLC | Case Manager/Care Coordinator | 333 West Vine Street, Suite 300, Lexington, KY 40507-1626 | 2013-11-08 |
| 1568702884 | Nicole Renee Morgan-brown | Case Manager/Care Coordinator | 2937 Briggs Pl, Lexington, KY 40511-8874 | 2013-02-22 |
| Find all providers in LEXINGTON | ||||
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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.