NANCY LONG (NPI# 1629407044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629407044 |
Entity Type | Individual |
Full Name | NANCY LONG |
Practice Address |
130 N Richard Pryor Pl Peoria IL 61605-2484 |
Practice Telephone | 3096718084 |
Enumeration Date | 2013-11-06 |
Last Update Date | 2013-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.003331 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | IL LCPC | 180.003331 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871059584 | Nancy Long | Anesthesiologist Assistant | 250 K St Ne Apt 606, Washington, DC 20002-8218 | 2019-02-18 |
1447738901 | Nancy Marie Long | Counselor | 11287 Manchester Rd, Saint Louis, MO 63122-1122 | 2018-08-06 |
1700387776 | Nancy Louise Long | Counselor | 360 Peachtree St Ne, Atlanta, GA 30308-3235 | 2018-02-26 |
1578993366 | Nancy Long | Counselor | 3255 W Cross Creek Rd, Sarasota, FL 34231-7480 | 2013-11-15 |
1104011881 | Nancy Ann Long | Nurse Practitioner | 132 Holiday Court, Suite 210, Annapolis, MD 21401 | 2007-09-06 |
1841320546 | Nancy Long | Psychologist | 140 Charles St, 10a, New York, NY 10014-6519 | 2007-03-06 |
1245707074 | Nancy Clayton Long | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3458 | 2018-10-30 |
1942697099 | Nancy Ann Long | Counselor | 19 E Market St, Suite 100, Leesburg, VA 20176-3004 | 2015-04-15 |
1972863637 | Nancy Lynn Long | Physical Therapist | 105 Reserve St, Hot Springs, AR 71901-4195 | 2012-05-29 |
1497931463 | Nancy Schaefer Long | Pediatrics | 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 | 2008-01-21 |
Street Address |
130 N RICHARD PRYOR PL |
City | PEORIA |
State | IL |
Zip Code | 61605-2484 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
1770960684 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2015-04-29 |
1437490026 | Daniel T Sheen | Counselor | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2013-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
Find all providers in zip 61605 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
Find all providers in PEORIA |
Please comment or provide details below to improve the information on NANCY LONG.
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.