KELLY A LONG (NPI# 1871808303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871808303 |
| Entity Type | Individual |
| Full Name | KELLY A LONG |
| Credential | NP |
| Practice Address |
1025 Straka Ter Oklahoma City OK 73139-2544 |
| Mailing Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Practice Telephone | 4056326688 |
| Mailing Telephone | 4056326688 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
48313 | OK | Physician Assistants & Advanced Practice Nursing 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 |
| 1720649676 | Kelly Long | Licensed Vocational Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-06-21 |
| 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 |
| 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 |
1025 STRAKA TER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063493187 | Violet Loren Cohen | Pediatrics | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2005-11-07 |
| 1629685946 | Jackeline Vanessa Pickelsimer | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-09-30 |
| 1033727615 | Kendall Mccormick | Advanced Practice Midwife | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-07-20 |
| 1144845090 | Allison Fuzzell | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-16 |
| 1093330250 | Erin Scott | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-13 |
| 1659902385 | Evodio Hector Estrada | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-01-31 |
| 1730726803 | Kimberly Louise Bittle | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-12-07 |
| 1588211361 | Kathy Huynh | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-08-26 |
| 1831682798 | Steve Tuan Nguyen | Dentist | 1025 Straka Ter, Oklahoma City, OK 73139 | 2018-06-14 |
| 1316334188 | Variety Care, Inc | Clinic/Center | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on KELLY A 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.