MISS KATHY AMANDA LONG (NPI# 1407929870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407929870 |
Entity Type | Individual |
Full Name | MISS KATHY AMANDA LONG |
Other Name | MISS KATHY AMANDA JONES |
Credential | ARNP-BC |
Practice Address |
108 Airway Dr Marion IL 62959-5841 |
Mailing Address |
2831 Lone Oak Rd Paducah KY 42003-8041 |
Practice Telephone | 6189977820 |
Practice Fax Number | 6189976721 |
Mailing Telephone | 2705548373 |
Mailing Fax Number | 2705548987 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3092927 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 78905296 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
67 Lakeview Dr, Paducah, KY 420015619 | 2705548373 | 2705548987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700328549 | Kathy Long | Licensed Practical Nurse | 2803 W Newman Pkwy, Peoria, IL 61604-2211 | 2016-11-10 |
1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
1518397108 | Kathy Long | Case Manager/Care Coordinator | 295 Hospital St, Moulton, AL 35650-1210 | 2013-11-18 |
1790060192 | Kathy Long | Registered Nurse | 3233 S Pinal Vis, Tucson, AZ 85713-6554 | 2011-10-17 |
1215097373 | Kathy Long | Specialist | 1211 Mcgee St, Room 905-c, Kansas City, MO 64106-2416 | 2006-12-11 |
Street Address |
108 AIRWAY DR |
City | MARION |
State | IL |
Zip Code | 62959-5841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184690570 | Pain Care Surgery, PC | Clinic/Center | 108 Airway Dr, Marion, IL 62959-5841 | 2006-02-24 |
1891267688 | Pain Management Centers of America | Psychiatry & Neurology | 108 Airway Dr, Marion, IL 62959-5841 | 2018-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
Find all providers in zip 62959 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
1669962098 | Brittani Danelle Atwood | Nurse Practitioner | 990 S. Prospect Street, Suite 2, Marion, OH 43302-6283 | 2018-05-10 |
1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
1972016327 | Kaelen Nothnagel | Nurse Practitioner | 1000 Mckinley Park Dr Ste Mri, Marion, OH 43302-6399 | 2017-11-08 |
1851824767 | Shaketia Barnes | Nurse Practitioner | 717 Lena Dr, Marion, AR 72364-9002 | 2017-04-07 |
1487995858 | Melissa Ann Wood-heller | Nurse Practitioner | 1103 N Baldwin Avenue, Marion, IN 46952-2600 | 2013-03-11 |
1790042455 | Courtney Paden Morris Gardner | Nurse Practitioner | 387 Us 70 W Ste 1, Marion, NC 28752-6202 | 2012-04-19 |
1770862450 | Rush Care, Inc. | Nurse Practitioner | 5334 Dale Drive, Marion, MS 39342 | 2011-08-11 |
1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
1871669275 | Deanna Leah Maclaren | Nurse Practitioner | 6212 Hwy 221 South, Marion, NC 28752 | 2006-11-28 |
Find all providers in MARION |
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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.