MRS. SUSAN C LONG (NPI# 1780962084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780962084 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN C LONG |
| Credential | NP |
| Practice Address |
820 Harrison Avenue Dowling North, 5108 Boston MA 02118-0000 |
| Mailing Address |
427 E 7th St South Boston MA 02127-4120 |
| Practice Telephone | 6176387062 |
| Practice Fax Number | 6176387075 |
| Mailing Telephone | 6172686120 |
| Mailing Fax Number | 6172686120 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2259254 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356582639 | Susan Katharine Long | Social Worker | 3150 Cardinal Dr Ste 200, Vero Beach, FL 32963-1931 | 2009-03-16 |
| 1275704868 | Susan Michele Long | Speech-Language Pathologist | 3231 N Ellis St, Chandler, AZ 85224-1068 | 2008-03-21 |
| 1316143522 | Susan Louise Long | Home Health Aide | 275 Horton Sisters Rd, Oak Hill, OH 45656-9760 | 2007-06-25 |
| 1679777387 | Susan P Long | Speech-Language Pathologist | 22633 Imperial Rd, Maryville, MO 64468-7385 | 2007-06-14 |
| 1861608333 | Susan Joy Long | Marriage & Family Therapist | 309 Elm Ave, Tillamook, OR 97141-3437 | 2007-05-14 |
| 1326104787 | Susan Long | Technician/Technologist | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 | 2006-12-29 |
| 1831268689 | Susan Long | Dentist | 24331 Ford Rd, Dearborn, MI 48128-1129 | 2006-11-07 |
| 1831112887 | Susan E Long | Family Medicine | 212 Girard Ave, Glenside, PA 19038-1010 | 2006-07-25 |
| 1699260059 | Susan Long | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301 | 2018-06-28 |
| 1669989331 | Susan Maylea Long | Counselor | 5600 Monroe St, Sylvania, OH 43560-2731 | 2018-01-04 |
| Street Address |
820 HARRISON AVENUE DOWLING NORTH, 5108 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396276648 | Jonathan Mark Friedman | Radiology | 820 Harrison Avenue, Fgh Building, Third Floor, Boston, MA 02118 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 1649897778 | Molly Rose | Nurse Practitioner | 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 | 2020-07-06 |
| 1528686680 | Stephanie Marie Devito | Nurse Practitioner | 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 | 2020-07-06 |
| 1558988832 | Skyla Barnett | Nurse Practitioner | 21 Winfield St Apt 1, Boston, MA 02127-3485 | 2020-07-02 |
| 1871130831 | Sarah Chu | Nurse Practitioner | 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 | 2019-12-09 |
| 1851935134 | Melissa Anne Coates | Nurse Practitioner | 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 | 2019-10-30 |
| 1992348502 | Paula Jeanne Mooney | Nurse Practitioner | 800 Washington St # 70, Boston, MA 02111-1552 | 2019-10-26 |
| 1538712997 | Valerie Kiers | Nurse Practitioner | 55 Fruit St Ste 3e, Boston, MA 02114-2696 | 2019-07-24 |
| Find all providers in BOSTON | ||||
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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.