NANCY RUSSELL BOOTH-LONG (NPI# 1649700733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649700733 |
| Entity Type | Individual |
| Full Name | NANCY RUSSELL BOOTH-LONG |
| Credential | FNP-C |
| Practice Address |
377 Gallimore Rd Brevard NC 28712 |
| Mailing Address |
Po Box 602373 Charlotte NC 28260-2373 |
| Practice Telephone | 8288849030 |
| Practice Fax Number | 8288843563 |
| Mailing Telephone | 8282131500 |
| Mailing Fax Number | 8286516570 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5009562 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009562 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 187 Medical Park Dr, Brevard, NC 287124189 | 8288849362 | 8288843851 |
| 16825 Rosman Hwy, Lake Toxaway, NC 287479593 | 8288626900 | 8288626904 |
| Street Address |
377 GALLIMORE RD |
| City | BREVARD |
| State | NC |
| Zip Code | 28712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073592770 | Ernesto Esteban De La Torre II | Family Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-01-11 |
| 1720454960 | Kristen Abbott | Pharmacist | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2015-08-11 |
| 1821373937 | Carolina Spine&neurosurgery Center Pa | Neurological Surgery | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2011-10-20 |
| 1255514980 | Transylvania Community Hospital, Inc. | Social Worker | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2007-12-17 |
| 1285717231 | Marshall Shane Foster | Family Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-10-23 |
| 1558459933 | G. Ruffin Benton | Family Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-10-10 |
| 1790877306 | Medical Associates of Transylvania Pa | Family Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-09-29 |
| 1013009547 | Ray H. Dunkelberg | Internal Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-09-29 |
| 1457443079 | James Robert Shaw | Family Medicine | 377 Gallimore Rd, Brevard, Brevard, NC 28712-8874 | 2006-09-29 |
| 1770682676 | James Earl Bryant | Family Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364119 | Katharine Carrico | Nurse Practitioner | 39 Hilt Street Ext, Brevard, NC 28712-4087 | 2019-09-11 |
| 1184924136 | Carl Bradley Torrence | Nurse Practitioner | 1664 Probart St, Brevard, NC 28712-6644 | 2010-10-25 |
| 1992707764 | Carol Ann Hoban | Nurse Practitioner | 22 Trust Lane, Suite 102, Brevard, NC 28712 | 2005-08-11 |
| 1932673662 | Southmountain Children & Family Services | Nurse Practitioner | 107 S Johnson St, Brevard, NC 28712-3707 | 2019-01-16 |
| 1164923223 | Elizabeth Mellott | Nurse Practitioner | 371 Asheville Hwy, Brevard, NC 28712-4647 | 2018-02-23 |
| 1801316245 | Amy Hales | Nurse Practitioner | 371 Asheville Hwy, Brevard, NC 28712-4647 | 2017-06-27 |
| 1265781868 | Adriana K Kovalik | Nurse Practitioner | 371 Asheville Hwy, Brevard, NC 28712-4647 | 2012-08-29 |
| 1881996353 | Holly Marie Bruehl | Nurse Practitioner | 371 Asheville Hwy, Brevard, NC 28712-4647 | 2010-12-03 |
| 1982731675 | Barbara Diane P Huey | Nurse Practitioner | 1266 Asheville Hwy, Suite 5, Brevard, NC 28712-3478 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
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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.