LYSA LONG (NPI# 1619110418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619110418 |
| Entity Type | Individual |
| Full Name | LYSA LONG |
| Credential | CNM |
| Practice Address |
5933 Blakeney Park Dr Ste 100 Charlotte NC 28277-5713 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043162021 |
| Practice Fax Number | 7043162025 |
| Mailing Telephone | 7043162025 |
| Mailing Fax Number | 7043162025 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 185 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7002154 | 05 |
| Street Address |
5933 BLAKENEY PARK DR STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795444 | Sarah Marie Rumbaugh | Advanced Practice Midwife | 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277 | 2018-10-12 |
| 1912413428 | Jessica Grobsmith | Advanced Practice Midwife | 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5713 | 2017-12-19 |
| 1093125619 | Ashley Martinez Fento | Obstetrics & Gynecology | 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5713 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518095033 | Carrie A. Copeland | Advanced Practice Midwife | 1718 East 4th Street, Suite 707, Charlotte, NC 28204-3282 | 2007-02-28 |
| 1881785640 | Jenny Thao Ngo | Advanced Practice Midwife | 4844 Albemarle Rd, Suite 103, Charlotte, NC 28205 | 2006-09-27 |
| 1437784667 | Mercede Abrams | Advanced Practice Midwife | 1718 E 4th St Ste 907, Charlotte, NC 28204-3282 | 2020-03-09 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1144795444 | Sarah Marie Rumbaugh | Advanced Practice Midwife | 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277 | 2018-10-12 |
| 1437658473 | Katrina Aubrieana George | Advanced Practice Midwife | 1718 E 4th St Ste 907, Charlotte, NC 28204-3282 | 2018-02-05 |
| 1912413428 | Jessica Grobsmith | Advanced Practice Midwife | 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5713 | 2017-12-19 |
| 1275053233 | Ashley Bice | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2017-06-21 |
| 1477006617 | Anayah Sangodele-ayoka | Advanced Practice Midwife | 131 Providence Rd, Charlotte, NC 28207-1206 | 2016-07-23 |
| 1922457167 | Shniqual Adams | Advanced Practice Midwife | 131 Providence Rd, Charlotte, NC 28207-1206 | 2016-06-08 |
| Find all providers in CHARLOTTE | ||||
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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.