AMANDA DAWN LONG (NPI# 1477072031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477072031 |
| Entity Type | Individual |
| Full Name | AMANDA DAWN LONG |
| Credential | APRN |
| Practice Address |
10507 E 91st St Ste 310 Tulsa OK 74133 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
| Practice Telephone | 9183073200 |
| Practice Fax Number | 9183073210 |
| Mailing Telephone | 9184886045 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
106035 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
106035 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3332 W Okmulgee St, Muskogee, OK 744015069 | 9186822481 | |
| 4813 S 196th East Ave, Broken Arrow, OK 740148039 | 9186889083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1417444753 | Amanda Brendle Long | Nurse Practitioner | 857 Aster Ln, Morganton, GA 30560-3256 | 2018-04-20 |
| 1457792889 | Amanda Weaver Long | Speech-Language Pathologist | 1780 Sunflower Cir, Tupelo, MS 38801-8193 | 2013-07-15 |
| 1326658188 | Amanda K Long | Behavior Technician | 11 Moose Run, Barrington, NH 03825-5915 | 2020-08-06 |
| 1639787542 | Amanda Long | Counselor | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-16 |
| 1437785581 | Amanda Long | Case Manager/Care Coordinator | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-03-20 |
| 1295376945 | Amanda Kate Long | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-10-03 |
| 1467948661 | Amanda Long | Community/Behavioral Health | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-07-11 |
| 1760976633 | Amanda Bales Long | Social Worker | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2018-06-14 |
| 1376049981 | Amanda Corey Long | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-04-03 |
| Street Address |
10507 E 91ST ST STE 310 |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1376064626 | Linda Abitbol I | Counselor | 6717 S. 93rd E Ave, Tulsa, OK 74133 | 2017-06-27 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on AMANDA DAWN 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.