LISA M LONG (NPI# 1164721247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164721247 |
| Entity Type | Individual |
| Full Name | LISA M LONG |
| Credential | CRNP |
| Practice Address |
51 N 39th St 4 Phi Philadelphia PA 19104-2640 |
| Mailing Address |
51 North 39th Street 4 Phi Philadelphia PA 19104-2614 |
| Practice Telephone | 2156629189 |
| Mailing Telephone | 2156629189 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011280 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073808507 | Lisa Long | Psychologist | 1524 Duckworth Ave, Charlotte, NC 28208-4315 | 2011-06-13 |
| 1730331828 | Lisa Sheri Long | Speech-Language Pathologist | 5 Settlers Rdg S, Malta, NY 12020-3755 | 2008-10-21 |
| 1801072020 | Lisa Lavonn Long | Clinical Nurse Specialist | 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 | 2008-01-17 |
| 1104818731 | Lisa R Long | Chiropractor | 307 E Karsch Blvd, Farmington, MO 63640-1203 | 2005-08-19 |
| 1376015321 | Lisa Marie Long | Occupational Therapy Assistant | 725 Columbus Ave, Fostoria, OH 44830-3255 | 2018-12-31 |
| 1356831572 | Lisa Long | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2018-05-14 |
| 1033639380 | Lisa Monique Long | Technician, Other | 1702 N Collins Blvd Ste 250, Richardson, TX 75080-3655 | 2017-06-27 |
| 1174052740 | Lisa C Long | Case Management | 6480 N Star Ln, Paso Robles, CA 93446-7639 | 2017-06-07 |
| 1609323641 | Lisa Long | Pharmacist | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2016-09-07 |
| 1154780864 | Lisa Long | Case Manager/Care Coordinator | 502 Farrell Dr, Covington, KY 41011-3717 | 2016-02-23 |
| Street Address |
51 N 39TH ST 4 PHI |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570733 | Tanya M Dougherty | Pharmacist | 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 | 2005-07-05 |
| 1114527058 | Laureen Delgado | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-29 |
| 1629677331 | Annabell Boreland | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-23 |
| 1174120190 | Kerry Jane Benson | Dietitian, Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1487251591 | Ashley Nichole Williams | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1245844687 | Matthew Hinton | Pharmacist | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-09-02 |
| 1093323768 | Lindsey Morgan Duboff | Physician Assistant | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-07-20 |
| 1184240830 | Ashley Danielle Kelly | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-18 |
| 1992321863 | Cassie Deann Prendergast | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-17 |
| 1972126951 | Theresa Marie Carbone | Registered Nurse | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on LISA M 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.