DANIEL W LONG (NPI# 1548870504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548870504 |
| Entity Type | Individual |
| Full Name | DANIEL W LONG |
| Practice Address |
2455 Sutherland Ave Knoxville TN 37919-2355 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8655445000 |
| Practice Fax Number | 8655445074 |
| Mailing Telephone | 8656379711 |
| Mailing Fax Number | 8656371278 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1710255666 | Daniel Gregory Long II | Psychologist | 1553 Stewartstown Road, Morgantown, WV 26505-2947 | 2011-12-07 |
| 1306886924 | Daniel Eugene Long | Dentist | 10920 S River Front Pkwy, Roseman University College of Dental Medicine, South Jordan, UT 84095-3538 | 2006-06-08 |
| 1023013943 | Daniel Stephen Long | Anesthesiology | 13601 Preston Rd, Ste 1000w, Dallas, TX 75240-4911 | 2005-06-16 |
| 1215474861 | Daniel Long | Behavior Technician | 7226 Sepulveda Blvd, Van Nuys, CA 91405-2003 | 2017-01-20 |
| 1700320900 | Daniel Long Jr. | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2016-12-07 |
| 1386099224 | Daniel Long | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1013300409 | Daniel Long | Physical Therapist | 2619 Sw 147th Ave, Miami, FL 33185-5622 | 2015-03-10 |
| Street Address |
2455 SUTHERLAND AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023353075 | Jocelyn Ivy | Counselor | 2455 Sutherland Ave, Knoxville, TN 37919 | 2012-12-03 |
| 1316544141 | Stacy Black | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-10-05 |
| 1750991881 | Mary Evelyn Thomas | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-08-04 |
| 1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1407473135 | Eden Victoria Batista | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-06-29 |
| 1861019598 | Somer Marie Gray | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-06-29 |
| 1033736764 | Hailey Dominy Stack | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-06-29 |
| 1386268498 | Devonte Porter | Student in an Organized Health Care Education/Training Program | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-06-04 |
| 1972125086 | Kevin Treadway | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-05-12 |
| 1013545482 | Andrew Sexton | Case Manager/Care Coordinator | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1952892150 | Howard Dean Jennings | Case Manager/Care Coordinator | 1010 Cox St, Knoxville, TN 37919-2221 | 2018-05-23 |
| 1700375326 | Jimmy Wayne Parks | Case Manager/Care Coordinator | 424 Clark St, Knoxville, TN 37921-6426 | 2018-05-09 |
| 1336644608 | Thomas Everett Cordell | Case Manager/Care Coordinator | 2455 Sutherland Ave Unit C, Knoxville, TN 37919-2355 | 2018-03-28 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1902352768 | Destiney Carter | Case Manager/Care Coordinator | 2130 Adair Dr Apt 3, Knoxville, TN 37918-1649 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
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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.