JACQUELYNN MARIE LONG (NPI# 1538618400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538618400 |
| Entity Type | Individual |
| Full Name | JACQUELYNN MARIE LONG |
| Credential | AUD |
| Practice Address |
1010 E Mcdowell Rd Ste 200 Phoenix AZ 85006-2608 |
| Mailing Address |
1010 E Mcdowell Rd Ste Ll1 Phoenix AZ 85006-2606 |
| Practice Telephone | 6029561250 |
| Practice Fax Number | 6029567466 |
| Mailing Telephone | 6029565107 |
| Mailing Fax Number | 6029567466 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA10110 | AZ | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | DA10110 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
1010 E MCDOWELL RD STE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770727323 | John Tyler French | Otolaryngology | 1010 E Mcdowell Rd Ste 200, Phoenix, AZ 85006-2608 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1427675933 | Bryce Alexander Altus | Audiologist | 4122 W Innovative Dr Ste 101, Phoenix, AZ 85086-3847 | 2020-06-30 |
| 1053937441 | Cassidy White | Audiologist | 7207 S 41st Ln, Phoenix, AZ 85041-3506 | 2020-06-22 |
| 1720592827 | Mary Christine Ferriera | Audiologist | 2340 E Beardsley Rd Ste 260, Phoenix, AZ 85024-1287 | 2017-11-28 |
| 1871015305 | Amanda Marie Mcinroy | Audiologist | 4545 E Shea Blvd Ste 174, Phoenix, AZ 85028-3061 | 2017-07-17 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| 1801045893 | Christina M Kelso | Audiologist | 5110 E Warner Rd Ste 100, Phoenix, AZ 85044-3368 | 2008-09-15 |
| 1134385933 | Kristen M Clark | Audiologist | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2008-07-31 |
| 1396914032 | Rita Gail Carter | Audiologist | 8055 N 24th Ave, Suite 103, Phoenix, AZ 85021-4865 | 2008-02-27 |
| 1770771180 | Carol Eichorst | Audiologist | 2051 W Northern Ave, Suite 200, Phoenix, AZ 85021-5179 | 2007-10-10 |
| 1780883579 | Georgine Ray | Audiologist | 4638 E Shea Blvd, Suite B-170, Phoenix, AZ 85028-3072 | 2007-07-12 |
| Find all providers in PHOENIX | ||||
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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.