BRANDI LONG (NPI# 1679740245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679740245 |
| Entity Type | Individual |
| Full Name | BRANDI LONG |
| Credential | LPN |
| Practice Address |
1041 Highland Cir Mountain Home AR 72653-3267 |
| Mailing Address |
4508 Stadium Blvd Jonesboro AR 72404-9675 |
| Practice Telephone | 8704251041 |
| Practice Fax Number | 8704251049 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L45738 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995474 | Brandi Long | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2019-11-01 |
| 1073927828 | Brandi Long | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2014-06-19 |
| 1265656524 | Brandi La'shelle Long | Optometrist | 547 W Church St, Wal-mart Vision Center, Lexington, TN 38351-1703 | 2007-04-11 |
| Street Address |
1041 HIGHLAND CIR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395615 | Merl B. Cox | Neuromusculoskeletal Medicine & OMM | 1041 Highland Cir, Suite 65, Mountain Home, AR 72653-3267 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880791 | Micah Grant | Licensed Practical Nurse | 3040 Spring Mill Dr, Mountain Home, AR 72653-5188 | 2018-08-13 |
| 1215171061 | Amanda Gail Shannon | Licensed Practical Nurse | #8 Medical Plaza, Health Resources of Arkansas, Mountain Home, AR 72653 | 2009-04-23 |
| 1679191241 | Randi Ortega | Licensed Practical Nurse | 815 N 6th E, Mountain Home, ID 83647-2207 | 2020-07-10 |
| 1740778950 | Jennifer Cook | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-24 |
| 1992202527 | Angela Stowe | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-10 |
| 1851802938 | Hope Boyd | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-10-17 |
| 1790237998 | Ginger Wiggins | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-04 |
| 1598125536 | Brenda Reed | Licensed Practical Nurse | 899 Burnett Dr, Mountain Home, AR 72653 | 2016-03-03 |
| 1841554870 | Hailey Harden | Licensed Practical Nurse | 18 County Road 458, Mountain Home, AR 72653-8212 | 2012-06-25 |
| 1306151097 | Kayla Foster | Licensed Practical Nurse | 18 County Road 458, Mountain Home, AR 72653-8212 | 2010-08-18 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on BRANDI 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.