KRISTEN DANIELLE LONG (NPI# 1336662634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336662634 |
| Entity Type | Individual |
| Full Name | KRISTEN DANIELLE LONG |
| Credential | PHARMD |
| Practice Address |
2005 Knight Lane, Bldg H Bureau of Medicine & Surgery, Attn: Medical Staff Serv Jacksonville FL 32212-0140 |
| Mailing Address |
4124 Fox Brush Dr Evans GA 30809-4856 |
| Practice Telephone | 9045427200 |
| Mailing Telephone | 7068290452 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH028437 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639643992 | Kristen Anne Long | Massage Therapist | 680 Falmouth Rd Ste H, Mashpee, MA 02649-3338 | 2019-01-18 |
| 1275808883 | Kristen L Long | Counselor | 605 Miami St, Montrose, CO 81401-4108 | 2012-03-14 |
| 1043831308 | Kristen J Long | Developmental Therapist | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2020-04-28 |
| 1205465580 | Kristen Raie Long | Physician Assistant | 600 Mary Street, Evansville, IN 47747-8017 | 2020-04-07 |
| 1518421304 | Kristen A Long | Nurse Practitioner | 9191 Grant St, Thornton, CO 80229-4361 | 2019-01-25 |
| 1972921153 | Kristen Long | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2014-04-03 |
| 1932521259 | Kristen Long | Dentist | 18119 Cashell Rd, Olney, MD 20832-2003 | 2014-01-07 |
| 1568759298 | Kristen L. Long | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2011-07-01 |
| 1760668230 | Kristen Long | Social Worker | 283 S Butler Road, Mt Gretna, PA 17064-0550 | 2008-01-15 |
| 1366579435 | Kristen Samara Long | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2007-02-27 |
| Street Address |
2005 KNIGHT LANE, BLDG H BUREAU OF MEDICINE & SURGERY, ATTN: MEDICAL STAFF SERV |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616052 | Joseph Duane Mcbeain | Nurse Anesthetist, Certified Registered | 2005 Knight Lane, Bldg H, Attn: Medical Staff Services, Navy Medicine Support Com, Jacksonville, FL 32212-0140 | 2011-01-21 |
| 1407198153 | Christopher James Mclellan | Dentist | 2005 Knight Lane, Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2013-03-20 |
| 1407196322 | Daniel Drew Tarman | Psychiatry & Neurology | 2005 Knight Lane, Bldg H, Attn: Medical Staff Services, Navy Medicine Support Com, Jacksonville, FL 32212-0140 | 2013-03-01 |
| 1356603187 | Jaime Piercey Gastwirt | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane, Bldg H, Navy Medicine Support Attn: Medical Staff Services, Jacksonville, FL 32212-0140 | 2012-06-07 |
| 1386924793 | David Gordon Burke | Dentist | 2005 Knight Lane, Bldg H, Attn: Medical Support Command, Jacksonville, FL 32212-0140 | 2011-08-17 |
| 1770875965 | Jennifer Lynne Park | Internal Medicine | 2005 Knight Lane, Bldg H, Navy Medicine Support Command, Medical Staff Services, Jacksonville, FL 32212-0140 | 2011-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on KRISTEN DANIELLE 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.