DR. STEPHANIE ROBERTS LONG (NPI# 1336314814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336314814 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ROBERTS LONG |
| Credential | AUD DOCTOR AUDILOGY |
| Practice Address |
W3124 Van Roy Rd Appleton WI 54915-3982 |
| Practice Telephone | 9209159077 |
| Mailing Telephone | 9209159077 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2010-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 232-156 | WI | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
232-156 | WI | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 232-156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41128700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1457858359 | Stephanie Roshelle Long | Counselor | 233 Prospect St Apt 3c, East Orange, NJ 07017-2861 | 2018-04-09 |
| 1639588965 | Stephanie C. Long | Optometrist | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 | 2014-08-12 |
| 1164548343 | Stephanie Lyn Long | Occupational Therapist | 5742 E Orchard Rd, Mooresville, IN 46158-6307 | 2007-03-21 |
| 1508427303 | Stephanie Long | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7199 | 2019-06-24 |
| 1346808581 | Stephanie Anne Long | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-06-03 |
| 1104311521 | Stephanie Lauren Long | Occupational Therapist | 409 Park Ave, Adamsville, TN 38310-2461 | 2018-06-27 |
| 1396269452 | Stephanie Diane Long | Physical Therapist | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2017-07-31 |
| 1396280343 | Stephanie Long | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2016-12-29 |
| 1881077022 | Stephanie Long | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2015-07-07 |
| Street Address |
W3124 VAN ROY RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040056 | Philip D Sorenson | Physical Therapist | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2005-08-12 |
| 1194177683 | Brittany Uitenbroek | Audiologist | W3124 Van Roy Rd, Appleton, WI 54915 | 2016-07-07 |
| 1700230455 | Stephanie Long Audiology, Inc. | Clinic/Center | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2016-04-19 |
| 1477910743 | Abbie Kathleen Goodman | Chiropractor | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2016-01-18 |
| 1174922744 | Kelsey Hinkley | Physical Therapist | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2014-08-19 |
| 1558792325 | Higgins Chiropractic, Inc. | Chiropractor | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2013-12-04 |
| 1700217858 | Daniel Higgins | Chiropractor | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2013-11-27 |
| 1417271628 | Carrington Manor Assisted Living of Green Bay, LLC | Assisted Living Facility | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2010-03-16 |
| 1538490438 | Carolina Manor Assisted Living of Appleton, LLC | Assisted Living Facility | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2010-01-18 |
| 1285772558 | Cheryl A Leonard | Massage Therapist | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866224 | Connect Hearing, Inc. | Audiologist | 128 W Sorenson Ave, Appleton, MN 56208-4505 | 2012-10-24 |
| 1598890139 | Barbara Jean Johnson | Audiologist | 506 E Longview Dr Ste A, Appleton, WI 54911-2105 | 2007-02-23 |
| 1023153251 | Peter John Zellmer | Audiologist | 1336 E Wisconsin Ave, Appleton, WI 54911-3969 | 2007-02-21 |
| 1750308649 | Robert R Broeckert | Audiologist | 4650 W Spencer St, Suite 31, Appleton, WI 54914-9106 | 2006-07-16 |
| 1083105530 | Audiology and Hearing Services of The Fox Cities | Audiologist | 2245 S Oneida St, Appleton, WI 54915 | 2018-05-21 |
| 1194177683 | Brittany Uitenbroek | Audiologist | W3124 Van Roy Rd, Appleton, WI 54915 | 2016-07-07 |
| 1770972697 | Kyle Martell | Audiologist | 1336 E Wisconsin Ave, Appleton, WI 54911-3969 | 2015-01-15 |
| 1497063515 | Thomas Robert Parry | Audiologist | 2245 S Oneida St, Appleton, WI 54915-1657 | 2010-09-23 |
| 1861725418 | Stacey D Dimond | Audiologist | 1440 Oneida St, N, Appleton, WI 54915-7101 | 2009-09-15 |
| 1407055528 | Jacqueline Nicole Maxam | Audiologist | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-07-18 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on DR. STEPHANIE ROBERTS 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.