KATHY LONG (NPI# 1700328549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700328549 |
| Entity Type | Individual |
| Full Name | KATHY LONG |
| Practice Address |
2803 W Newman Pkwy Peoria IL 61604-2211 |
| Practice Telephone | 3096870053 |
| Mailing Telephone | 3096870053 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043051028 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
| 1518397108 | Kathy Long | Case Manager/Care Coordinator | 295 Hospital St, Moulton, AL 35650-1210 | 2013-11-18 |
| 1790060192 | Kathy Long | Registered Nurse | 3233 S Pinal Vis, Tucson, AZ 85713-6554 | 2011-10-17 |
| 1215097373 | Kathy Long | Specialist | 1211 Mcgee St, Room 905-c, Kansas City, MO 64106-2416 | 2006-12-11 |
| 1407929870 | Kathy Amanda Long | Nurse Practitioner | 108 Airway Dr, Marion, IL 62959-5841 | 2006-11-15 |
| Street Address |
2803 W NEWMAN PKWY |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| 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 |
|---|---|---|---|---|
| 1952847634 | Iva Washum | Licensed Practical Nurse | 211 Fulton St, Ste 207, Peoria, IL 61602-1347 | 2017-01-18 |
| 1396131488 | Danielle Michalak | Licensed Practical Nurse | 11275 N 99th Ave Lot 102, Peoria, AZ 85345-5478 | 2015-04-15 |
| 1710222054 | Christy Marie Ward | Licensed Practical Nurse | 29319 N 125th Dr, Peoria, AZ 85383-2443 | 2012-11-27 |
| 1861711640 | Saint Francis Medical Center | Licensed Practical Nurse | 1300 W Commerce Dr, Ste 200, Peoria, IL 61615-1405 | 2010-05-19 |
| 1114150216 | Therese Mae' Taylor | Licensed Practical Nurse | 10358 N 78th Ave, Peoria, AZ 85345-6782 | 2009-08-24 |
| 1700018769 | Tiffany Kay Lage | Licensed Practical Nurse | 21233 N 79th Dr, Peoria, AZ 85382-4454 | 2009-08-10 |
| 1578710679 | Takisha West | Licensed Practical Nurse | 7542 W Cinnabar Ave, Peoria, AZ 85345-6773 | 2008-08-20 |
| 1679740237 | Donald B. Stephenson | Licensed Practical Nurse | 10845 N 99th Ave Ste 6, Peoria, AZ 85345-2406 | 2008-05-13 |
| 1144423260 | Lora Critser | Licensed Practical Nurse | 10436 W Mariposa Grande, Peoria, AZ 85383-2710 | 2007-06-06 |
| 1205446986 | Lannett Brown | Licensed Practical Nurse | 11501 N 79th Ave, Peoria, AZ 85345-1358 | 2020-08-06 |
| Find all providers in PEORIA | ||||
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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.