KELLY LONG (NPI# 1720649676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720649676 |
Entity Type | Individual |
Full Name | KELLY LONG |
Credential | LVN |
Practice Address |
2180 Valley Blvd Pomona CA 91768-3325 |
Practice Telephone | 9098652336 |
Practice Fax Number | 9096295294 |
Mailing Telephone | 9098652336 |
Mailing Fax Number | 9096295294 |
Enumeration Date | 2019-06-21 |
Last Update Date | 2019-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | VN204910 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013551894 | Kelly Denise Long | Physical Therapist | 6410 Diamond Rock Dr, Katy, TX 77449-4241 | 2019-11-04 |
1316319148 | Kelly Long | Occupational Therapist | 1906 Kenwood Ave, Charlotte, NC 28205-3646 | 2015-10-20 |
1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
1366949539 | Kelly Mckinley Long | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 | 2018-04-12 |
1447551817 | Kelly Patricia Long | Nurse Practitioner | 900 E 13th St, Suite 101, Grove, OK 74344-2975 | 2010-11-16 |
1871808303 | Kelly A Long | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2010-08-09 |
1447408133 | Kelly Long | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412 | 2008-09-05 |
1568623338 | Kelly Lynn Long | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2008-06-24 |
1457564726 | Kelly Long | Counselor | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-05-07 |
1457438905 | Kelly Ann Long | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-11-01 |
Street Address |
2180 VALLEY BLVD |
City | POMONA |
State | CA |
Zip Code | 91768-3325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710029780 | Robert Leo Quesada | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2007-02-13 |
1710592308 | Emma Margarita Lopez | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-09-10 |
1144840968 | Yan Chen | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-04-22 |
1417577594 | Kiriam Alfaro | Licensed Practical Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-04-20 |
1437781598 | Ana Torres | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-02-06 |
1043841745 | Alex Sarpong | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-31 |
1760013064 | Marquita Monique Carter | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-27 |
1932730249 | Eva Cristina Jimenez Morones | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-27 |
1700427655 | Janet Sylvia Ortega | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-10-02 |
1659921666 | Xavier Martinez | Licensed Vocational Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-09-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
Find all providers in zip 91768 |
Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
---|---|---|---|---|
1255972469 | Kamasha Monique Tanner | Licensed Vocational Nurse | 1745 Blue Ridge Dr, Pomona, CA 91766-4111 | 2019-09-30 |
1316509797 | Helen Haekyung Hwang | Licensed Vocational Nurse | 355 E Phillips Blvd, Pomona, CA 91766-4570 | 2019-07-05 |
1811445026 | Vena Aquino Baybay | Licensed Vocational Nurse | 1782 Rockview Way, Pomona, CA 91766-5285 | 2016-09-16 |
1124395116 | Jonathan Blic Arpon Masayon | Licensed Vocational Nurse | 2018 Las Vegas Ave Apt 9, Pomona, CA 91767-2735 | 2011-11-19 |
1346522349 | Felisa B Phillips | Licensed Vocational Nurse | 568 Wisconsin St, Pomona, CA 91768-3639 | 2011-09-15 |
1023310943 | Yesica Xiomara Ponce | Licensed Vocational Nurse | 2226 Concord Ave, Pomona, CA 91768-1018 | 2010-11-29 |
1043497365 | Selina Lopez Flores | Licensed Vocational Nurse | 1905 Yorba Dr, Pomona, CA 91768-1556 | 2008-01-29 |
1730377755 | Wendell Owen Findley | Licensed Vocational Nurse | 1204 W Mission Blvd, Pomona, CA 91766-1344 | 2007-10-04 |
1619163979 | Terri Ellyn Wakefield | Licensed Vocational Nurse | 272 San Luis St, Pomona, CA 91767-2712 | 2007-09-20 |
1235252503 | Sandra Veronica Gallardo | Licensed Vocational Nurse | 513 E La Verne Ave, Pomona, CA 91767-2809 | 2007-04-09 |
Find all providers in POMONA |
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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.