KATHLEEN LONG (NPI# 1346743911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346743911 |
| Entity Type | Individual |
| Full Name | KATHLEEN LONG |
| Credential | PA |
| Practice Address |
2468, 75 Nielson St Watsonville CA 95076 |
| Mailing Address |
1822 S Logan St Denver CO 80210-3126 |
| Practice Telephone | 8317244741 |
| Mailing Telephone | 7203185325 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55261 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Powell St Ste 900, Emeryville, CA 946081844 | 8317244741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720346372 | Kathleen Ellen Long | Speech-Language Pathologist | 11142 S Campbell Ave, Chicago, IL 60655-1316 | 2012-05-01 |
| 1184873259 | Kathleen Long | Acupuncturist | 1137 Second St., #116, Santa Monica, CA 90403 | 2008-09-15 |
| 1407821648 | Kathleen Long | Psychologist | 508 Gray Rd, Windham, ME 04062-4831 | 2006-02-21 |
| 1538139068 | Kathleen Adele Long | Nurse Practitioner | 300 E 8th St Ste 120, Marietta, OH 45750-3379 | 2006-01-26 |
| 1043215403 | Kathleen A. Long | Internal Medicine | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2005-06-14 |
| 1558998633 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 | 2020-03-26 |
| 1083176788 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2019-04-02 |
| 1710367503 | Kathleen Ann Long | Dermatology | 800 Hospital Dr, Columbia, MO 65201-5275 | 2015-06-05 |
| 1295087252 | Kathleen Long | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2012-10-15 |
| 1154514552 | Kathleen Cleadette Long | Counselor | 1608 S Elwood Ave, Tulsa, OK 74119-4208 | 2007-08-20 |
| Street Address |
2468, 75 NIELSON ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| 1083006597 | Raffaella Bianchi-allen | Marriage & Family Therapist | 113 E Lake Ave, Watsonville, CA 95076 | 2015-02-21 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215187794 | Ricardo Plata | Physician Assistant | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2008-09-22 |
| 1629634829 | Brenda D De La Torre | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-05-13 |
| 1164985644 | Kellee English | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-04-10 |
| 1295218097 | Kelley Humphrey | Physician Assistant | 398 S Green Valley Rd, Watsonville, CA 95076-3099 | 2018-09-08 |
| 1477072775 | Stephanie Garcia Torres | Physician Assistant | 30 Brennan St, Watsonville, CA 95076-4303 | 2017-09-18 |
| 1720436470 | Caitlin Maureen Casey | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2016-06-02 |
| 1033505987 | Zerlina Sramek | Physician Assistant | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2015-04-07 |
| 1306243506 | Christopher Mills | Physician Assistant | 30 Brennan St, Watsonville, CA 95076-4303 | 2014-12-03 |
| 1861689911 | Alicia Catherine Potes | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2007-10-02 |
| 1639291867 | Anna Deraco | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2007-04-06 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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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.