TESSA LYNN LONGAN (NPI# 1639511157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639511157 |
| Entity Type | Individual |
| Full Name | TESSA LYNN LONGAN |
| Credential | APRN-CNP |
| Practice Address |
900 E 13th St Suite 205 Grove OK 74344-2975 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 9187862720 |
| Practice Fax Number | 9187868020 |
| Mailing Telephone | 9187862720 |
| Mailing Fax Number | 9187868020 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
83227 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200468380X | 05 | |
| OK | 200504950A | 05 |
| Street Address |
900 E 13TH ST SUITE 205 |
| City | GROVE |
| State | OK |
| Zip Code | 74344-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411536 | Paul Edward Callicoat Jr. | Internal Medicine | 900 E 13th St, Suite 200, Grove, OK 74344-2975 | 2005-07-18 |
| 1083049001 | Osu Center for Health Sciences | Clinic/Center | 900 E 13th St, Suite 201, Grove, OK 74344-2976 | 2013-09-10 |
| 1326304643 | Ashley Shelley | Obstetrics & Gynecology | 900 E 13th St, Suite 205, Grove, OK 74344-2975 | 2012-04-11 |
| 1447551817 | Kelly Patricia Long | Nurse Practitioner | 900 E 13th St, Suite 101, Grove, OK 74344-2975 | 2010-11-16 |
| 1598904526 | Kioumars (none) Zarintash | Family Medicine | 900 E 13th St, 104, Grove, OK 74344-2975 | 2009-02-15 |
| 1851555239 | Tyson Richard Trimble | Orthopaedic Surgery | 900 E 13th St, Suite 104, Grove, OK 74344-2975 | 2008-07-15 |
| 1316092182 | Renee J Russell Md Inc | Family Medicine | 900 E 13th St, Suite 104, Grove, OK 74344-2975 | 2007-01-24 |
| 1619041720 | Osu Center for Health Sciences | Clinic/Center | 900 E 13th St, Suite 201, Grove, OK 74344-2975 | 2006-11-20 |
| 1124030002 | James B Chapman | Internal Medicine | 900 E 13th St, Suite 200, Grove, OK 74344-2975 | 2006-08-12 |
| 1326067174 | Douglas Allen Ohlstrom | Surgery | 900 E 13th St, Suite 102, Grove, OK 74344-2975 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891294419 | Meredith Anne Dewitte | Nurse Practitioner | 2115 Duncan Regional Loop Ste 100, Duncan, OK 73533-1570 | 2018-02-09 |
| 1841581519 | Ashley Nicole Willeford | Nurse Practitioner | 105 S. Bryant Ave, #304, Edmond, OK 73034-6331 | 2011-04-28 |
| 1437223484 | Kathryne Lucille Erwin | Nurse Practitioner | 912 S College Ave, Tahlequah, OK 74464-4726 | 2006-11-20 |
| 1730270463 | Catherine Williams Gardner | Nurse Practitioner | 1101 N Bryant Avenue, Edmond, OK 73034-3251 | 2006-09-27 |
| 1225031081 | Cynthia A Bigheart | Nurse Practitioner | 316 W Owen K Garriott Rd, Enid, OK 73701-5622 | 2005-05-24 |
| 1710530688 | Jessica Klingeman | Nurse Practitioner | 1124 S Braden Ave, Tulsa, OK 74112-5331 | 2019-07-19 |
| 1578027876 | Jennie Nicole Garrod | Nurse Practitioner | 3300 Nw 56th St, Oklahoma City, OK 73112-4538 | 2019-01-31 |
| 1043742364 | Lori Deeann Price | Nurse Practitioner | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2017-03-28 |
| 1740737121 | Jenna Aizenman | Nurse Practitioner | 6565 S Yale Ave, Suite 508, Tulsa, OK 74136-8327 | 2016-09-02 |
| 1467906305 | Alisha Wilke | Nurse Practitioner | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TESSA LYNN LONGAN.
| 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.