MARCIA MARIE LONG (NPI# 1487278628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487278628 |
Entity Type | Individual |
Full Name | MARCIA MARIE LONG |
Practice Address |
454 Georgetown Shortcut Rd Crescent City FL 32112-4504 |
Practice Telephone | 3864672095 |
Mailing Telephone | 3864672095 |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
FL | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639446016 | Marcia Nicole Long | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2011-11-29 |
1215131636 | Marcia Gail Long | Social Worker | 1001 Washington St, Suite 8, Eugene, OR 97401-3419 | 2007-06-11 |
Street Address |
454 GEORGETOWN SHORTCUT RD |
City | CRESCENT CITY |
State | FL |
Zip Code | 32112-4504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316346273 | Regina Victoria Folen | Behavioral Analyst | 405 S Summit St Ste E, Crescent City, FL 32112 | 2014-08-17 |
1912179698 | Charlene Judge | Massage Therapist | 10 Central Ave., Crescent City, FL 32112 | 2008-04-02 |
1740404078 | Vicente Mercado | Specialist | 405 South Summit St., Unit F, Crescent City, FL 32112 | 2007-04-11 |
1750404547 | Leo Mancini | Specialist | 405 S Summit Street, Crescent City, FL 32112 | 2007-04-09 |
1962525675 | Marcia Anne Harwell | Specialist | 405 South Summit Street, Crescent City, FL 32112 | 2007-04-09 |
1972663342 | Southeast Sleep Consultants | Clinical Medical Laboratory | 1125c N Summitt St., Crescent City, FL 32112 | 2006-12-08 |
1215429436 | St John's Recovery Place LLC | Substance Abuse Rehabilitation Facility | 1125 N Summit St, Crescent City, FL 32112-1721 | 2018-06-04 |
1336160704 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1115 N Summit St, Crescent City, FL 32112-1721 | 2006-07-21 |
1760011134 | Joanne Jensen | Pharmacist | 1115 N Summit St, Crescent City, FL 32112-1721 | 2020-04-07 |
1760699250 | Thomas P Ball | Pharmacist | 1115 N Summit St, Crescent City, FL 32112-1721 | 2007-05-16 |
Find all providers in zip 32112 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
1730712555 | Rashel L Haddix | Technician | 2009 Long Round Bay Rd, Bonifay, FL 32425-7135 | 2020-02-20 |
Find all providers with the same taxonomy |
City | CRESCENT CITY |
Zip Code | 32112 |
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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.