DANIEL LONGINO (NPI# 1144779091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144779091 |
| Entity Type | Individual |
| Full Name | DANIEL LONGINO |
| Practice Address |
2400 Hospital Dr Ste 130 Bossier City LA 71111-2386 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3182127990 |
| Practice Fax Number | 3182127995 |
| Mailing Telephone | 3182128951 |
| Mailing Fax Number | 3182126752 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP08930 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2432117 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1541 Kings Hwy, Shreveport, LA 711034228 | 3186755000 |
| Street Address |
2400 HOSPITAL DR STE 130 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1285272641 | Elizabeth Grace Robinson | Nurse Practitioner | 5717 Lake Side Dr, Bossier City, LA 71111-5509 | 2019-12-17 |
| 1306904412 | Regina Renee Willis | Nurse Practitioner | 5015 Shed Rd Ste 500, Bossier City, LA 71111-5587 | 2006-12-04 |
| 1679126866 | Emily Rene Maddox | Nurse Practitioner | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2019-07-17 |
| 1619363116 | Lea J. Rimmer | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2015-04-10 |
| 1104172535 | Stacey Wright Eaves | Nurse Practitioner | 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111-2394 | 2012-08-03 |
| 1639406580 | Erin Elizabeth Richard | Nurse Practitioner | 2400 Hospital Dr, Suite 420, Bossier City, LA 71111-2385 | 2009-11-13 |
| 1265526255 | Paul Douglas Myers | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1699372169 | Alexis Christian | Nurse Practitioner | 4319 Carter St, Vidalia, LA 71373-3152 | 2020-10-07 |
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1114402013 | Hayley Mitchell | Nurse Practitioner | 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 | 2018-09-27 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1932649837 | Stephanie Johnson | Nurse Practitioner | 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 | 2017-02-27 |
| 1588108070 | Jonathan Michael Faust | Nurse Practitioner | 1514 Jeffeson Hwy, New Orleans, LA 70121 | 2016-12-19 |
| 1861859761 | Valerie Bernard | Nurse Practitioner | 4228 Houma Blvd Ste 530, Metairie, LA 70006-3017 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on DANIEL LONGINO.
| 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.