REBECCA DAWN LONG (NPI# 1710529987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710529987 |
Entity Type | Individual |
Full Name | REBECCA DAWN LONG |
Credential | NP |
Practice Address |
1148 Broadway Ste 100 Tacoma WA 98402-3518 |
Practice Telephone | 2535974550 |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61006992 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518575000 | Rebecca Christine Long | Nurse Practitioner | 3377 Nw 26th Ave, Boca Raton, FL 33434-3419 | 2020-07-21 |
1205248325 | Rebecca Long | Specialist | 7420 Brock Rd, Spotsylvania, VA 22553-2002 | 2014-05-22 |
1487070033 | Rebecca Marie Long | Registered Nurse | 23915 Rd H.5 Nw, Ephrata, WA 98823 | 2014-03-06 |
1871648428 | Rebecca Danielle Long | Massage Therapist | 800-164th St Se, Suite N, Mill Creek, WA 98012 | 2007-01-24 |
1699794610 | Rebecca Ann Long | Psychologist | 258 Lopes Cir, Franklin, NC 28734-3527 | 2006-07-19 |
1760482657 | Rebecca Rich Long | Family Medicine | 107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 | 2005-07-21 |
1447256847 | Rebecca B Long | Nurse Practitioner | 3301 Sw 34th Cir, Suite 101, Ocala, FL 34474-6621 | 2005-06-22 |
1811558885 | Rebecca Dianne Long | Counselor | 501 Oak St, Boone, NC 28607-5809 | 2019-06-21 |
1053888693 | Rebecca Long | Counselor | 113 Metlakatla St, Sitka, AK 99835-7666 | 2018-11-01 |
1366984239 | Rebecca Lillian Long | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2016-11-09 |
Street Address |
1148 BROADWAY STE 100 |
City | TACOMA |
State | WA |
Zip Code | 98402-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790762755 | Community Health Care | Clinic/Center | 1148 Broadway Ste 100, Tacoma, WA 98402 | 2005-12-29 |
1386290583 | Myung Jin Maria Cho | Dentist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2019-08-13 |
1952879413 | Martha Moreno | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-11-02 |
1851866602 | Samalie Sseba | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-08 |
1972088359 | Tiffaney White | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-01 |
1760964316 | Kelsey Wardlow | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-08-30 |
1518445758 | Ashley Rivero | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-31 |
1275010480 | Rosemary Grace Cooper | Social Worker | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-20 |
1811492150 | Javier Eduardo Fregoso | Counselor | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-03-28 |
1922529403 | Yareli Aguirre | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2017-07-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
Find all providers in zip 98402 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
Find all providers in TACOMA |
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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.