AMBER D LONG (NPI# 1114491966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114491966 |
| Entity Type | Individual |
| Full Name | AMBER D LONG |
| Credential | APRN |
| Practice Address |
2450 Batesville Blvd Batesville AR 72501 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 8705694934 |
| Practice Fax Number | 8705694948 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703471235 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A006037 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 233151758 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1375 Nettleton Ave, Thayer, MO 65791 | 4172647136 | 4172647122 |
| 724 N Spring St, Harrison, AR 726012913 | 8703650850 | 8703650862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876479 | Amber Michelle Long | Social Worker | 1 Watkins Pl, New Rochelle, NY 10801-3105 | 2020-06-25 |
| 1215586508 | Amber Long | Massage Therapist | 2811 E 39th Ave, Spokane, WA 99223-4544 | 2019-09-09 |
| 1902858095 | Amber S Long | Physician Assistant | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2006-05-17 |
| 1144857616 | Amber Nicole Brooks Long | Student in an Organized Health Care Education/Training Program | 800 Rose Street, Room M-53, Lexington, KY 40536-0293 | 2020-03-25 |
| 1144870775 | Amber Long | Social Worker | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 | 2019-09-16 |
| 1821497934 | Amber Long | Registered Nurse | 3225 Independence Rd, Canon City, CO 81212-9380 | 2014-08-14 |
| Street Address |
2450 BATESVILLE BLVD |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861634826 | Alisa R. Lancaster | Nurse Practitioner | 2450 Batesville Blvd, Batesville, AR 72501-7782 | 2009-04-06 |
| 1821574641 | Tammy Jane Hicks | Nurse Practitioner | 2450 Batesville Blvd, Batesville, AR 72501-7782 | 2018-07-15 |
| 1841798105 | Dana Denise Fryman | Nurse Practitioner | 2450 Batesville Blvd, Batesville, AR 72501 | 2018-01-31 |
| 1053676718 | Arcare | Clinic/Center | 2450 Batesville Blvd, Batesville, AR 72501-7782 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642053 | Lauren C Williams | Nurse Practitioner | 137 Public Sq, Batesville, MS 38606-2127 | 2018-09-11 |
| 1336655513 | Donna Dutton | Nurse Practitioner | 1547 Harrison St, Batesville, AR 72501-7222 | 2017-12-25 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1124575394 | Shelly Eisert | Nurse Practitioner | 920 County Line Rd, Batesville, IN 47006-9008 | 2016-09-06 |
| 1598116402 | Brittany Holliday Willis | Nurse Practitioner | 171 Lakewood Dr, Batesville, MS 38606-3011 | 2016-06-22 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1083017313 | Lauren Durham | Nurse Practitioner | 555 Highway 6 E, Batesville, MS 38606-3003 | 2014-10-01 |
| 1043568058 | Rachel Jeannette Johnson | Nurse Practitioner | 905 20th St Ste B, Batesville, AR 72501-7008 | 2012-08-22 |
| 1073877023 | Diabetic Experts of Arkansas, LLC | Nurse Practitioner | 905 20th St, Suite B, Batesville, AR 72501-7008 | 2012-06-25 |
| 1942566021 | Lauren Nicole Gill | Nurse Practitioner | 188 State Rd, Ste. B, Batesville, IN 47006 | 2012-04-03 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on AMBER D 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.