VANESSA ROXANE LONG (NPI# 1417254236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417254236 |
| Entity Type | Individual |
| Full Name | VANESSA ROXANE LONG |
| Credential | MSN, ARNP-BC |
| Practice Address |
100 Nw 63rd St Ste 100 Oklahoma City OK 73116-8208 |
| Practice Telephone | 4058424435 |
| Practice Fax Number | 9548519688 |
| Mailing Telephone | 4058424435 |
| Mailing Fax Number | 9548519688 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9312887 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560705 | Vanessa Monique Long | Technician | 1600 Maryland Ave Ne Apt 401, Washington, DC 20002-7666 | 2019-07-22 |
| Street Address |
100 NW 63RD ST STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194365288 | Tiffany Hockett | Case Manager/Care Coordinator | 100 Nw 63rd St Ste 100, Oklahoma City, OK 73116-8208 | 2020-01-07 |
| 1952879868 | Vanessa Long Aprn Inc | Clinic/Center | 100 Nw 63rd St Ste 100, Oklahoma City, OK 73116-8208 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
| 1205468881 | Magdaline Epie | Nurse Practitioner | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-02-11 |
| 1841851672 | Lynn Armah | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-24 |
| 1912565995 | Jamie Holz | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-04 |
| 1497222616 | Renate Sabine Winningham | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2018-10-25 |
| 1184109787 | Brooke Peyton | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112-8766 | 2018-09-28 |
| 1780184754 | Paula Jean Rother | Nurse Practitioner | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2018-02-16 |
| 1376052944 | Northside Psychiatry Pllc | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112 | 2017-09-26 |
| 1528104684 | Sue Cheril Rollins | Nurse Practitioner | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1154976033 | Mindful Psychiatric Consulting LLC | Nurse Practitioner | 1700 Nw 174th St, Edmond, OK 73012-6963 | 2019-08-07 |
| 1811555154 | Pamela Jean Davies-jones | Nurse Practitioner | 3905 Brunswick Ln, Norman, OK 73072-1759 | 2019-06-02 |
| 1568920213 | Shannon Marie Rakowski | Nurse Practitioner | 2770 Washington Dr Ste 100, Norman, OK 73069-1016 | 2019-03-12 |
| 1346725595 | Elisabeth Mustachia | Nurse Practitioner | 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035 | 2018-10-03 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1649639550 | Jane M Harmon Dnp,rn,pmhnp-bc,pllc | Nurse Practitioner | 305 Dogwood Ct, Broken Bow, OK 74728-6118 | 2016-02-19 |
| 1902248123 | Satera Nicole Washington | Nurse Practitioner | 18308 Willow Oak Ln, Edmond, OK 73012-4042 | 2013-07-29 |
| 1477751196 | Enieni Elizabeth Okoya | Nurse Practitioner | 900 E. Main Street, Red Rock Behavioral Health Services Building 52-100, Norman, OK 73071 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.