MRS. ELIZABETH RAE LONG (NPI# 1851768543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851768543 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH RAE LONG |
Credential | P-CNS |
Practice Address |
1050 West 10th Street Phelps County Regional Medical Center Rolla MO 65401 |
Mailing Address |
14155 Columbia Rd Dixon MO 65459-7153 |
Practice Telephone | 5738424000 |
Mailing Telephone | 5126602798 |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
2014029932 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
1336409770 | Elizabeth Perry Long | Lactation Consultant, Non-RN | 4004 Keble Dr, Charlotte, NC 28269-1405 | 2012-05-19 |
1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
1427669191 | Elizabeth Long | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2020-08-14 |
1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
Street Address |
1050 WEST 10TH STREET PHELPS COUNTY REGIONAL MEDICAL CENTER |
City | ROLLA |
State | MO |
Zip Code | 65401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154587038 | Nurelign G. Abebe | Internal Medicine | 1050 West 10th Street, Rolla, MO 65401 | 2008-07-31 |
1124388947 | Hadi Bhurgri | Internal Medicine | 1050 West 10th Street, Pcrmc, Suite 580, Rolla, MO 65401 | 2012-05-26 |
1013295419 | Joel Amos Leon Becerril | Urology | 1050 West 10th Street, Suite 150, Rolla, MO 65401 | 2011-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
Find all providers in zip 65401 |
Taxonomy Code | 364SP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417514951 | Michelle Lee Weltman | Clinical Nurse Specialist | 4408 Terrace St, Kansas City, MO 64111-4223 | 2019-05-21 |
1356496442 | Ruth A Kiekhaefer | Clinical Nurse Specialist | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507-2566 | 2007-01-25 |
1528413119 | Susan Mason | Clinical Nurse Specialist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2016-05-02 |
1689037772 | Tiffany Mullen | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-04-05 |
1306255724 | Clint Dziadosz | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-08-11 |
1548602444 | Sarah M. Lagergren | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-07-22 |
1881957504 | Judith I Bildner | Clinical Nurse Specialist | 404 N Keene St, Columbia, MO 65201-6626 | 2012-06-18 |
1457628224 | Grace Spinner | Clinical Nurse Specialist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-11-22 |
1982912119 | Andrea R Keune | Clinical Nurse Specialist | 851 E 5th St, Suite 300, Washington, MO 63090-3135 | 2010-09-22 |
1306076336 | Sarah E Dedrick | Clinical Nurse Specialist | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2009-07-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. ELIZABETH RAE 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.