MRS. CAROL JEAN LONG (NPI# 1093172108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093172108 |
| Entity Type | Individual |
| Full Name | MRS. CAROL JEAN LONG |
| Practice Address |
18404 51st Ave Chippewa Falls WI 54729-6839 |
| Practice Telephone | 7157207794 |
| Mailing Telephone | 7157207794 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 17504-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033498563 | Carol Diane Long | Pharmacist | 2494 E Frontier Elm Dr, Fayetteville, AR 72703-4948 | 2011-08-15 |
| 1700923661 | Carol A Long | Nurse Practitioner | 423 Woodbine Ave, Towson, MD 21204-4245 | 2007-01-31 |
| 1932258274 | Carol Sue Long | Nurse Practitioner | 1584 Anita Pl Ne, Atlanta, GA 30306-2202 | 2007-01-09 |
| 1982652228 | Carol A. Long | Pediatrics | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2006-05-05 |
| Street Address |
18404 51ST AVE |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-6839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770095002 | Tiffany Ann Jensen | Licensed Practical Nurse | 10467 County Highway B, Chippewa Falls, WI 54729-6226 | 2017-10-26 |
| 1093088254 | Dale Albert Anderson | Licensed Practical Nurse | 17095 52nd Ave, Chippewa Falls, WI 54729-7119 | 2012-02-20 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1750561098 | Kelly L Schoen | Licensed Practical Nurse | 3970 96th St, Chippewa Falls, WI 54729-5757 | 2007-11-03 |
| 1619172707 | Jolene A Braun | Licensed Practical Nurse | 13549 43rd Ave, Chippewa Falls, WI 54729-6740 | 2007-06-19 |
| 1659427466 | Kristin Elizabeth Larson | Licensed Practical Nurse | 4869 195th St, Chippewa Falls, WI 54729-9101 | 2007-01-25 |
| 1093088569 | Renee Marie Wolfe | Licensed Practical Nurse | 4869 195th St, Chippewa Falls, WI 54729-9101 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
Please comment or provide details below to improve the information on MRS. CAROL JEAN 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.