MS. KATHRYN LONG


Address: 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607
Phone: 6169429610

MS. KATHRYN LONG (NPI# 1558900183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558900183
Entity Type Individual
Full Name MS. KATHRYN LONG
Credential NP-C
Practice Address 1055 Medical Park Dr Se
Grand Rapids
MI 49546-3607
Practice Telephone 6169429610
Mailing Telephone 6169429610
Enumeration Date 2019-12-30
Last Update Date 2019-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704253154 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHRYN LONG

NPI Name Taxonomy Address Enumeration
1386103133 Kathryn Long Behavior Technician 7351 W Charleston Blvd Bldg Ste120, Las Vegas, NV 89117-1502 2019-03-19
1760855035 Kathryn Long Case Manager/Care Coordinator 3863 South First Street, Jena, LA 71342 2015-11-09
1043686280 Kathryn Ann Long Registered Nurse 460 S. Eliot Ave., Rush City, MN 55069 2015-08-11
1346417821 Kathryn Wood Long Counselor 1011 Guilford Rd, Charlotte, NC 28209-1204 2008-05-13
1083623672 Kathryn Elizabeth Long Family Medicine 1338 Hundred Oaks Dr, Suite B, Charlotte, NC 28217-4051 2006-08-05
1871108886 Kathryn M Long Peer Specialist 2052 Princeton Rd, Fairfield Township, OH 45011-4746 2020-09-15
1194244277 Kathryn Gray Long Physical Medicine & Rehabilitation 350 New Fidelity Ct, Garner, NC 27529-2665 2017-09-11
1104289677 Kathryn Long Internal Medicine 1800 Orleans St, Baltimore, MD 21287-0010 2016-04-01
1427223437 Kathryn R Long Dietitian, Registered 1000 S 2nd St, Sunbury, PA 17801-3318 2008-04-30
1487748695 Kathryn A Long Counselor 106 Springview Ln, Summerville, SC 29485-8108 2006-10-03

Office Location

Street Address 1055 MEDICAL PARK DR SE
City GRAND RAPIDS
State MI
Zip Code 49546-3607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902808272 Forest View Psychiatric Hospital Inc Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3671 2005-06-01
1649884214 Jessy Gigowski Counselor 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2020-09-01
1689207334 Hill View Psychiatric Plc Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2020-02-20
1962050252 Amelia Rose Grayson Family Medicine 1055 Medical Park Dr Se, Grand Rapids, MI 49546-8323 2019-08-29
1841760972 Kelly J Culmore Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-12-02
1710457858 Jason Douglas Sikkema Psychologist 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-12-02
1548752314 Marci Marie Colyer Registered Nurse 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-06-06
1447760640 Jamie Marie Newman Registered Nurse 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2017-10-03
1154861565 Karli Reich Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2017-03-03
1124494539 Amy Catherine Stratton Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2015-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154893956 Jacquelyn Dunn Nurse Practitioner 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 2018-12-19
1134690761 Koren Gebben Nurse Practitioner 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 2018-12-07
1841775483 Stacy Lu Allen Nurse Practitioner 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 2018-09-29
1538654835 Anna Marie Rykse Nurse Practitioner 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 2018-06-28
1578065140 Kallie Rae Kraker Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-02-28
1083122790 Christopher Michael Bouma Nurse Practitioner 300 68th St Se, Grand Rapids, MI 49548-6927 2018-01-16
1144732850 Michelle Kristine Buist Nurse Practitioner 35 Michigan St Ne, Grand Rapids, MI 49503-2514 2017-11-03
1952810830 Kaitlin Jane Hendriksma Nurse Practitioner 550 Cherry St Se, Grand Rapids, MI 49503-4748 2017-09-24
1962954354 Samantha Lynne Wylie Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2016-11-01
1881061497 Carole Lenzo Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2015-08-31
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Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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