JACOB LONGSTRETH (NPI# 1487208542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487208542 |
| Entity Type | Individual |
| Full Name | JACOB LONGSTRETH |
| Practice Address |
225 Crabapple Chase Ct Alpharetta GA 30004-6311 |
| Practice Telephone | 8282757284 |
| Mailing Telephone | 8282757284 |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E026403 | GA | Emergency Medical Service Providers |
| Street Address |
225 CRABAPPLE CHASE CT |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023591872 | Stephen Shugart | Emergency Medical Technician, Basic | 3230 Hopewell Chase Dr, Alpharetta, GA 30004-2539 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910897 | Shontay Jackson | Emergency Medical Technician, Basic | 4600 Rockbridge Rd Ste A, Stone Mountain, GA 30083-7312 | 2020-04-09 |
| 1275039166 | John Hudson Garrett Jr. | Emergency Medical Technician, Basic | 2414 Gatebury Cir, Atlanta, GA 30341-2633 | 2018-04-01 |
| 1629577846 | Kim Mcclenton | Emergency Medical Technician, Basic | 859 Chapman Cir, Stone Mountain, GA 30088-2553 | 2018-02-02 |
| 1962919126 | Jon-michael Troche | Emergency Medical Technician, Basic | 31 Reese Way, Savannah, GA 31419-8440 | 2018-01-09 |
| 1184162422 | Kevin Rice | Emergency Medical Technician, Basic | 1065 Great Oaks Dr, Lawrenceville, GA 30045-7187 | 2017-02-07 |
| 1932644929 | Yussuf Jamaa | Emergency Medical Technician, Basic | 6200 Memorial Dr, Suite I, Stone Mountain, GA 30083-2849 | 2016-12-29 |
| 1023480878 | Teresa Michelle Baker | Emergency Medical Technician, Basic | 3961 Brittan Glade Trl, Snellville, GA 30039-8717 | 2015-10-20 |
| 1972987683 | Etohn Nimene | Emergency Medical Technician, Basic | 3034 Meadow Church Rd, Suwanee, GA 30024-3678 | 2015-07-13 |
| 1922409358 | Kellie Neff | Emergency Medical Technician, Basic | 14 Chinook Ave, Savannah, GA 31405-6754 | 2014-09-04 |
| 1306255617 | Mark Popovici | Emergency Medical Technician, Basic | 342 Cottonwood Creek Cir, Canton, GA 30114-9006 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on JACOB LONGSTRETH.
| 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.