TRACEY ELLEN LONGSTRETH (NPI# 1033597802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033597802 |
| Entity Type | Individual |
| Full Name | TRACEY ELLEN LONGSTRETH |
| Credential | APN |
| Practice Address |
319 W Parker St Hamburg AR 71646-3121 |
| Mailing Address |
12 Winona Dr Maumelle AR 72113-6301 |
| Practice Telephone | 8708538271 |
| Mailing Telephone | 5012515320 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004390 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
319 W PARKER ST |
| City | HAMBURG |
| State | AR |
| Zip Code | 71646-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893579 | Felicia Annette Watkins-brown | Family Medicine | 319 W Parker St, Hamburg, AR 71646-3121 | 2005-12-27 |
| 1821350232 | Rebecca Lynn Amos | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2012-06-12 |
| 1710251061 | Holly Nicole Frisby | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2012-03-05 |
| 1093084808 | Crossett Health Foundation | Clinic/Center | 319 W Parker St, Hamburg, AR 71646-3121 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130468 | Mainline Health Systems, Inc. | Clinic/Center | 206 S Bartlett, Hamburg, AR 71646 | 2015-12-22 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1215161708 | Cleveland County School District | Local Education Agency (LEA) | 202 E Parker Street, Hamburg, AR 71646 | 2009-05-12 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1558530733 | Leslie Stephanie Hodge | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1821267006 | Daryl L Daniels Jr. | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1033252267 | Footes Super Drug Inc | Pharmacy | 109 East Adams Street, Hamburg, AR 71646 | 2007-02-15 |
| 1922193937 | William Eugene Foote Iv | Dentist | 201 S Cherry St, Hamburg, AR 71646 | 2006-10-04 |
| 1437632627 | Mainline Health Systems, Inc | Clinic/Center | 1109 Cub Drive, Hamburg, AR 71646 | 2018-09-13 |
| 1679743397 | Audra Clark | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-03-10 |
| Find all providers in zip 71646 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851763643 | Jessica Heffelfinger | Nurse Practitioner | 9 Dave's Way, Hamburg, PA 19526-3096 | 2015-10-20 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1386950244 | Theresa Ann Weremblewski | Nurse Practitioner | 4477 Lake Shore Rd, Hamburg, NY 14075-1407 | 2010-08-28 |
| 1447884085 | Kathryn Ryan | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2020-02-22 |
| 1134761471 | Janele Noworyta | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2019-10-08 |
| 1487111399 | Colleen Trahey | Nurse Practitioner | 31 State Rt 23 N, Hamburg, NJ 07419-1434 | 2019-02-27 |
| 1710347943 | Jennifer Leigh Black | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2016-03-01 |
| 1689098378 | Kelly Schillinger | Nurse Practitioner | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 | 2014-02-14 |
| 1053755876 | Hamburg Nurse Practitioners In Adult & Family Health Care Pllc | Nurse Practitioner | 4535 Southwestern Blvd, Suite 705, Hamburg, NY 14075-1860 | 2013-04-23 |
| 1821350232 | Rebecca Lynn Amos | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2012-06-12 |
| Find all providers in HAMBURG | ||||
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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.