ANNIE LONGENECKER (NPI# 1063887099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063887099 |
| Entity Type | Individual |
| Full Name | ANNIE LONGENECKER |
| Practice Address |
5151 Pfeiffer Rd Ste 350 Blue Ash OH 45242-4854 |
| Mailing Address |
1700 Lyons Rd Suite A Dayton OH 45458-1882 |
| Practice Telephone | 8333582036 |
| Mailing Telephone | 9374389100 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.18459-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Lyons Rd, Suite A, Dayton, OH 454581882 | 9374389100 | |
| 50 E Rivercenter Blvd Ste 434, Covington, KY 410111660 | 8333582278 |
| Street Address |
5151 PFEIFFER RD STE 350 |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049053 | Evelyn R Mote | Family Medicine | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2005-11-10 |
| 1477103869 | Philip Ofori Yentumi | Registered Nurse | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-09-17 |
| 1619430501 | Kelly A Mcmanis | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-04-09 |
| 1568929685 | Angela Denise Miller | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-02-25 |
| 1558851584 | Samantha Hake Mason | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2018-05-15 |
| 1942705603 | Landmark Medical of Ohio Professional Corporation | General Practice | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242 | 2018-03-26 |
| 1023512944 | Ramie Jacqueline Martin | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2018-03-23 |
| 1578087482 | Chelsea Poland | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2017-08-01 |
| 1346690674 | Angela Mclearen | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2016-06-17 |
| 1396069860 | Sandra J Kindness | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2010-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679016745 | Blue Ash Dermatology, LLC | Nurse Practitioner | 9403 Kenwood Rd, Ste B100, Blue Ash, OH 45242-6895 | 2016-11-22 |
| 1689043499 | Barbara Bracken Hankin | Nurse Practitioner | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2015-09-22 |
| 1114319746 | Connie Marie Syropoulos | Nurse Practitioner | 4380 Glendale Milford Rd, Blue Ash, OH 45242-3706 | 2015-02-18 |
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| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
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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.