MS. ANGELA L LONG (NPI# 1639532609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639532609 |
| Entity Type | Individual |
| Full Name | MS. ANGELA L LONG |
| Credential | FNP |
| Practice Address |
19 Wolf Creek Dr Dept Otolaryngology Swansea IL 62226-2355 |
| Mailing Address |
660 S Euclid Ave Cb 8115 Saint Louis MO 63110-1010 |
| Practice Telephone | 6182353687 |
| Practice Fax Number | 6182399492 |
| Mailing Telephone | 3143627509 |
| Mailing Fax Number | 3143627522 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013742 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Pleasant Ave, Centralia, IL 62801 | 6184368000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477083913 | Angela Long | Nurse Practitioner | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2017-06-18 |
| 1699826412 | Angela Dale Long | Social Worker | 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 | 2007-01-16 |
| 1598789406 | Angela Nicole Long | Marriage & Family Therapist | 901 E Tahquitz Canyon Way, Suite A201, Palm Springs, CA 92262-6757 | 2006-07-26 |
| 1801859657 | Angela Long | Optometrist | 2617 W 16th Street, Bedford, IN 47421 | 2006-04-11 |
| 1851940704 | Angela Dawn Long | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-04 |
| 1720458706 | Angela Desiree Long | Nurse Practitioner | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2015-10-02 |
| 1356608699 | Angela Long | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-11 |
| 1124286877 | Angela M Long | Registered Nurse | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2008-05-29 |
| 1689864761 | Angela Long | Family Medicine | 27w281 Geneva Rd, Winfield, IL 60190-2035 | 2007-07-26 |
| 1619029147 | Angela C. Long | Dietitian, Registered | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2007-01-17 |
| Street Address |
19 WOLF CREEK DR DEPT OTOLARYNGOLOGY |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203617 | Murray D Mcgrady | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| 1871132449 | Washington University Physicians In Illinois, Inc | Clinic/Center | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2019-12-31 |
| 1982122719 | Samantha M Menezes | Audiologist | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2017-08-31 |
| 1265755649 | Shanna Lea Moshure | Audiologist | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2010-03-12 |
| 1235319245 | Susan D Hamilton | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2007-11-07 |
| 1194825174 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-09-22 |
| 1033131164 | Dawn Marie Roulanaitis | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-07-25 |
| 1689697187 | Brandy R Wojciuch | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-07-25 |
| 1649273319 | Carl Wesley Lee II | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603364 | Kari Anne Simmons | Nurse Practitioner | 445 Sardis Church Rd, Swansea, SC 29160-8457 | 2019-01-23 |
| 1841714045 | Monica Ann Rothwell | Nurse Practitioner | 2340 Gar Hwy, Swansea, MA 02777-3907 | 2017-07-28 |
| 1851840722 | Ashley Brooke Tetreault | Nurse Practitioner | 2340 Grand Army Hwy, Swansea, MA 02777-3907 | 2016-10-03 |
| 1801078589 | Elizabeth Eileen Seal | Nurse Practitioner | 1031 Cedar Creek Rd, Swansea, SC 29160-9117 | 2007-12-04 |
| 1396380721 | Sydney Jayne Dantzler | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-11-08 |
| 1528602331 | Melissa N Thole | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-11-05 |
| 1417590720 | Lauren Eck | Nurse Practitioner | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-21 |
| 1972145043 | Lindsay Medeiros | Nurse Practitioner | 440 Swansea Mall Dr, Swansea, MA 02777-4114 | 2019-10-10 |
| 1386298024 | Monica S Sires | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-07-31 |
| 1053897645 | Amanda Rae Johnson | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-07-17 |
| Find all providers in SWANSEA | ||||
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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.