MS. STACY MARIE LONG (NPI# 1083758593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083758593 |
| Entity Type | Individual |
| Full Name | MS. STACY MARIE LONG |
| Credential | ATC |
| Practice Address |
G-3100 Van Slyke Flint MI 48551-0001 |
| Mailing Address |
3208 Churchill Ave Flint MI 48506-3021 |
| Practice Telephone | 8108350068 |
| Practice Fax Number | 8108350069 |
| Mailing Telephone | 8107363954 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656281 | Stacy Pike Long | Counselor | 730 Polk St Fl 4, San Francisco, CA 94109-7813 | 2018-11-01 |
| 1346761129 | Stacy Long | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2017-06-30 |
| 1447460787 | Stacy Elizabeth Long | Speech-Language Pathologist | 1900 Atrium Parkway, Napa, CA 94559 | 2007-05-23 |
| 1205906591 | Stacy Lynn Long | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-11-08 |
| Street Address |
G-3100 VAN SLYKE |
| City | FLINT |
| State | MI |
| Zip Code | 48551-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407596 | Mishari Denise Ryan | Home Health Aide | 1190 River Valley Dr Apt 4, Flint, MI 48532-2960 | 2020-11-02 |
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1255930640 | Nikki Lynn Moorman | Counselor | 1295 S Linden Rd Ste F, Flint, MI 48532-3498 | 2020-10-18 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1336747336 | Wheelchairs Outlet | Durable Medical Equipment & Medical Supplies | 5506 Maplebrook Ln, Flint, MI 48507-4160 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1225635568 | Nichole Wright | Counselor | 5294 Timberwood Point Dr, Flint, MI 48532-2265 | 2020-10-08 |
| 1710584990 | Brittany Renee Rappas | Occupational Therapy Assistant | 2297 Bass Ct, Flint, MI 48507-6234 | 2020-10-01 |
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| Find all providers in FLINT | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121689 | Steven Maas | Specialist/Technologist | 1420 W 12th St, Flint, MI 48507-1425 | 2018-07-19 |
| 1831648591 | Mikayla Marie Gilbert | Specialist/Technologist | 3430 E Maple Ave, Flint, MI 48507-4569 | 2016-09-22 |
| 1710392964 | Bernadine Mccracklin | Specialist/Technologist | 3022 Brandon St, Flint, MI 48503-6609 | 2014-06-26 |
| 1043625312 | James Gordon IIi | Specialist/Technologist | 5312 Webster Rd, Flint, MI 48504-1046 | 2014-06-25 |
| 1376957035 | Boe Glasschild | Specialist/Technologist | 5500 S Saginaw Rd, Flint, MI 48507-4424 | 2014-06-19 |
| 1720222003 | Jonathan David Lenze | Specialist/Technologist | 3201 E Court St, Consumers Energy Wellness Room, Flint, MI 48506-4022 | 2009-04-30 |
| 1396892659 | Kenneth Mark Rush | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2007-01-05 |
| 1528088770 | Karen Lynn Berney | Specialist/Technologist | 902 E Leith St, Building 18 Physical Therapy, Flint, MI 48550-0001 | 2006-07-20 |
| 1669432738 | Kellie Kay George | Specialist/Technologist | 902 E Hamilton Ave, Flint, MI 48550-0001 | 2006-03-24 |
| 1770115263 | Jeremy Dollinger | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2020-02-12 |
| Find all providers in FLINT | ||||
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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.