MRS. KRISTEN SAMARA LONG (NPI# 1366579435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366579435 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN SAMARA LONG |
| Credential | M.A., CCC-SLP |
| Practice Address |
621 W 21st St Andover KS 67002-8498 |
| Mailing Address |
8424 W Mystic Lakes South St Maize KS 67101-8602 |
| Practice Telephone | 3167331349 |
| Practice Fax Number | 3167335883 |
| Mailing Telephone | 3167227565 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1767 | KS | Speech, Language and Hearing 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 |
| 1336662634 | Kristen Danielle Long | Pharmacist | 2005 Knight Lane, Bldg H, Bureau of Medicine & Surgery, Attn: Medical Staff Serv, Jacksonville, FL 32212-0140 | 2017-07-19 |
| 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 |
| Street Address |
621 W 21ST ST |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-8498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590822 | Michelle Lynn Kane | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2006-03-01 |
| 1447878368 | Caroline Reid | Occupational Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2020-07-07 |
| 1518440270 | Kelsey Marie Highbarger | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2018-09-10 |
| 1861942146 | Angelica Bretton | Physical Therapy Assistant | 621 W 21st St, Andover, KS 67002-8498 | 2016-10-11 |
| 1659724300 | Chelsea Leigh Maxwell | Hearing Instrument Specialist | 621 W 21st St, Andover, KS 67002-8498 | 2016-07-18 |
| 1225480601 | Jodi White | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2016-07-08 |
| 1770967341 | Ivey Melissa Hardison | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2015-07-14 |
| 1003202045 | Reesa Volgamore | Physical Therapy Assistant | 621 W 21st St, Andover, KS 67002-8498 | 2015-04-07 |
| 1104210061 | Michael Stratton | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2015-03-27 |
| 1265826432 | Valen Villo | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in zip 67002 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119956 | Bethann Deleo | Speech-Language Pathologist | 18 Wabanaki Way, Andover, MA 01810-5513 | 2018-10-09 |
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1083100549 | Chelsea Burdick | Speech-Language Pathologist | 4252 County Road 12, Andover, NY 14806 | 2018-07-09 |
| 1770941106 | Sofia Mourmoutis | Speech-Language Pathologist | 1 Archer Ln, Andover, MA 01810-5701 | 2016-01-30 |
| 1659629145 | Margot E Kelman | Speech-Language Pathologist | 123 S Putter Dr, Andover, KS 67002-8823 | 2012-08-15 |
| 1679876528 | Nora H Jassak | Speech-Language Pathologist | 260 Fisher Rd, Andover, NY 14806-9626 | 2010-12-15 |
| 1740437276 | Jennifer Austin Smith | Speech-Language Pathologist | 3135 Elm Street, Andover, NY 14806 | 2008-08-27 |
| 1568623742 | Nicole Marie Fritzky | Speech-Language Pathologist | 32 Crescent Dr S, Andover, NJ 07821-4006 | 2008-06-20 |
| 1679788707 | Audrey S. Rubin | Speech-Language Pathologist | 12 Rose Glen Dr, Andover, MA 01810-4704 | 2007-05-11 |
| 1942336151 | Mary T Behl | Speech-Language Pathologist | 44 Park St, 3rd Floor, Andover, MA 01810-3692 | 2007-02-24 |
| Find all providers in ANDOVER | ||||
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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.