CYNTHIA DIANE LONG (NPI# 1376776302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376776302 |
| Entity Type | Individual |
| Full Name | CYNTHIA DIANE LONG |
| Credential | FNP |
| Practice Address |
335 Pleasant Point Dr Beaufort SC 29907-1164 |
| Mailing Address |
Po Box 84068 Lexington SC 29073-0002 |
| Practice Telephone | 8036999073 |
| Practice Fax Number | 8665270937 |
| Mailing Telephone | 8036999073 |
| Mailing Fax Number | 8665270937 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3848 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R34502 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP2360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406143 | Cynthia Marie Long | Pharmacist | 2100 Summit Ridge Plz Ste 1, Mt Pleasant, PA 15666-9199 | 2020-10-27 |
| 1316588650 | Cynthia Ann Long | Driver | 10487 County Road 4 Lot 100, Swanton, OH 43558-9247 | 2019-10-07 |
| 1578987798 | Cynthia Smith Long | Social Worker | 50 Timway Rd, Wellfleet, MA 02667-7069 | 2014-02-07 |
| 1669764833 | Cynthia Flory Long | Physical Therapist | 14141 46th St N Ste 1202, Clearwater, FL 33762-3860 | 2011-05-06 |
| 1144484551 | Cynthia A Long | Counselor | 3825 Hopyard Rd Ste 202, Pleasanton, CA 94588-8528 | 2008-07-15 |
| 1851577217 | Cynthia Danna Long | Specialist | 116 Lizzie Ln, Canton, MS 39046-9747 | 2008-01-16 |
| 1831382985 | Cynthia Gail Long | Home Health Aide | 4279 N Bonita Way, Prescott Valley, AZ 86314 | 2007-08-22 |
| 1619918786 | Cynthia L Long | Surgery | 10104 Hadley Pl, Kensington, MD 20895-3407 | 2006-06-09 |
| 1184675076 | Cynthia A Long | Radiology | 923 Rosemoor Dr, Allen, TX 75013-5374 | 2006-05-15 |
| 1588204762 | Cynthia L Long | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-01-15 |
| Street Address |
335 PLEASANT POINT DR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832995 | David T Miller | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2005-06-27 |
| 1356872766 | Senior Health Associates | Clinic/Center | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2017-03-27 |
| 1780115428 | Lauren Booth | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2017-03-24 |
| 1760722029 | Gerald Alan Lee Brown | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2013-02-25 |
| 1548500036 | Jaclyn Burke Taylor | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2013-02-21 |
| 1104121730 | Angela Mae Riddle | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2011-01-12 |
| 1750579967 | Beverly Ann Reilly | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2007-10-12 |
| 1164553020 | Floyd Ashton Cribbs | Family Medicine | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2007-03-09 |
| 1447320189 | Keith A Taylor | Internal Medicine | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2006-11-09 |
| 1346283470 | Susan Kelly Corkery | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1295767572 | Philip A Cusumano | Internal Medicine | 117 Sea Island Parkway, Beaufort, SC 29907 | 2006-07-07 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| Find all providers in zip 29907 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514437 | April Scott | Nurse Practitioner | 960 Ribaut Rd Ste 1, Beaufort, SC 29902-5453 | 2019-12-01 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1013285170 | Marjorie Sapp | Nurse Practitioner | 694 Paige Dr, Beaufort, SC 29906-9030 | 2011-12-05 |
| 1972797934 | Karen Lee Fawcett | Nurse Practitioner | 182c Sea Island Pkwy, Beaufort, SC 29907-1503 | 2007-09-04 |
| 1316991235 | Christine Milligan Lewis | Nurse Practitioner | 11 Todd Drive, Dba Ltc Health Solutions, Beaufort, SC 29902-6113 | 2006-05-22 |
| 1174509632 | Suzanne Wolf | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2005-12-16 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1942764592 | Charles Daniel Moore | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-01-29 |
| 1306319843 | Leonard Leon Wilson Jr. | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-01-08 |
| 1780115428 | Lauren Booth | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2017-03-24 |
| Find all providers in BEAUFORT | ||||
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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.