LISA LONG (NPI# 1396807939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396807939 |
| Entity Type | Individual |
| Full Name | LISA LONG |
| Credential | FNP |
| Practice Address |
1814 New Hanover Medical Park Dr Wilmington NC 28403-5350 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9106628765 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201617 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 Physicians Dr, Wilmington, NC 284017356 | 9103628765 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9103628765 | |
| 3009 Medical Plaza Ln, Southport, NC 284615194 | 9103628765 | |
| 5145 S College Rd, Wilmington, NC 284122207 | 9103628765 |
| 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 |
1814 NEW HANOVER MEDICAL PARK DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720912 | Robert Bennett | Urology | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2005-06-17 |
| 1801120050 | Cathryn Dunty | Physician Assistant | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2009-09-21 |
| 1528200276 | Margaret Fleishman | Physician Assistant | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2009-03-27 |
| 1013031996 | Roc Mccarthy | Urology | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2007-03-18 |
| 1679624092 | Celine Alisse Daily | Obstetrics & Gynecology | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2007-01-13 |
| 1740331164 | Azalea Gynecology | Specialist | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2007-01-13 |
| 1780639443 | Hugh Reeves Jr. | Urology | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2006-05-23 |
| 1467400556 | Gerald Merrell | Physician Assistant | 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1932670734 | Crystal M Perry | Nurse Practitioner | 302 Shipley Rd Apt 701, Wilmington, DE 19809-3630 | 2018-12-06 |
| 1578072229 | Victoria A Varga | Nurse Practitioner | 900 Foulk Rd Ste 200, Wilmington, DE 19803-3155 | 2017-09-26 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1881083996 | Paradigm Healthcare Associates, Inc | Nurse Practitioner | 18 Kelso Ct, Wilmington, DE 19808-4307 | 2015-01-13 |
| 1003155623 | Geetanjali Chatterjee | Nurse Practitioner | 1400 N Washington St Ste 300, Wilmington, DE 19801-1024 | 2013-02-01 |
| 1437317518 | Allison Marie Thompson | Nurse Practitioner | 109 Monet Cir, Wilmington, DE 19808-1123 | 2008-05-27 |
| 1184820458 | Barbara E Harrison | Nurse Practitioner | 205 W. 14th Street, Suite 100a Swank Memory Care Center, Wilmington, DE 19801-0000 | 2007-06-25 |
| 1992924310 | Katherine Sawyer Mann | Nurse Practitioner | 1410 Commonwealth Dr Ste 100, Wilmington, NC 28403-0314 | 2007-04-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.