DR. NICOLE ANN LONG (NPI# 1962609289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962609289 |
| Entity Type | Individual |
| Full Name | DR. NICOLE ANN LONG |
| Credential | D.O. |
| Practice Address |
277 White St Ne Abingdon VA 24210-2913 |
| Practice Telephone | 2766284335 |
| Practice Fax Number | 2766283195 |
| Mailing Telephone | 2766284335 |
| Mailing Fax Number | 2766283195 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0102202854 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 5101017337 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174634950 | Nicole Long | Nurse Practitioner | 902 Carl Rd, Lafayette, CA 94549-4807 | 2006-08-31 |
| 1184100067 | Nicole Long | Nurse Practitioner | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2018-07-13 |
| 1679090302 | Nicole Marie Long | Nurse Practitioner | 50 Irving St Nw, Washington, DC 20422-0001 | 2017-08-23 |
| 1336581511 | Nicole Long | Social Worker | 150 West St, West Bridgewater, MA 02379-1448 | 2013-07-29 |
| 1891058939 | Nicole Diane Long | Nurse Practitioner | 2990 Cortez Ave, Idaho Falls, ID 83404-7554 | 2012-06-22 |
| 1851521660 | Nicole C. Long | Optometrist | 320 Central City Plz, New Kensington, PA 15068-6441 | 2009-07-15 |
| 1093834145 | Nicole Ann Long | Nurse Practitioner | 9397 Crown Crest Blvd, Ste 320, Parker, CO 80138-8575 | 2007-03-28 |
| 1386733087 | Nicole Marie Long | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2006-10-12 |
| 1750482683 | Nicole L Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-25 |
| Street Address |
277 WHITE ST NE |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326245 | Southwest Virginia Physicians for Women | Specialist | 277 White St Ne, Abingdon, VA 24210-2913 | 2005-09-15 |
| 1124472691 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2016-04-20 |
| 1538402946 | Meshell Alexzandria Stokes | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2013-04-03 |
| 1336157726 | Matthew J Denti | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2006-08-03 |
| 1669468815 | Paula Kaye Wright | Nurse Practitioner | 277 White St Ne, Abingdon, VA 24210-2913 | 2005-09-23 |
| 1073509568 | Jay Wayne Lavigne | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2005-09-21 |
| 1053307546 | Melanie Ann Leight | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2005-09-21 |
| 1376539866 | Maria Mcfarlane Briscoe | Nurse Practitioner | 277 White St Ne, Abingdon, VA 24210-2913 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447644489 | Jacquelyn Wentworth | Obstetrics & Gynecology | 16000 Johnston Memorial Dr Ste 200, Abingdon, VA 24211-7664 | 2015-03-27 |
| 1710215595 | Womens Wellness Center of Abingdon | Obstetrics & Gynecology | 390 Oakmont Dr, Abingdon, VA 24211-3808 | 2009-12-07 |
| 1922099753 | Drs Glover and Moore PC | Obstetrics & Gynecology | Hospital Drive Glenrochie Professional Bldg, Suite 200, Abingdon, VA 24210 | 2005-11-01 |
| 1073501730 | Eileen Coelus | Obstetrics & Gynecology | 100 Walter Ward Blvd, Suite 200, Abingdon, MD 21009-1285 | 2005-10-07 |
| 1841794443 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 16000 Johnston Memorial Dr Ste 200, Abingdon, VA 24211-7664 | 2018-03-20 |
| 1124472691 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2016-04-20 |
| 1538402946 | Meshell Alexzandria Stokes | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2013-04-03 |
| 1528152295 | Viola Renee Hollins | Obstetrics & Gynecology | 16000 Johnston Memorial Dr, Suite 212, Abingdon, VA 24211-7659 | 2006-10-03 |
| 1336157726 | Matthew J Denti | Obstetrics & Gynecology | 277 White St Ne, Abingdon, VA 24210-2913 | 2006-08-03 |
| 1508848375 | James D Moore Jr. | Obstetrics & Gynecology | 227 W Main St, Abingdon, VA 24210-2715 | 2005-11-17 |
| Find all providers in ABINGDON | ||||
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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.