DAVID T LONG (NPI# 1689913741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689913741 |
| Entity Type | Individual |
| Full Name | DAVID T LONG |
| Practice Address |
841 Jimmy Ann Dr Daytona Beach FL 32117-4583 |
| Practice Telephone | 3864253900 |
| Practice Fax Number | 3862744140 |
| Mailing Telephone | 3864253900 |
| Mailing Fax Number | 3862744140 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528484854 | David James Long | Mechanotherapist | 2732 Capital Cir Ne Ste 3, Tallahassee, FL 32308-4108 | 2014-03-11 |
| 1225258197 | David A Long | Chiropractor | 1607 Middleford Rd, Seaford, DE 19973-3617 | 2007-04-26 |
| 1871603613 | David Allen Long | Internal Medicine | 7035 Central Ave Ste B, St Petersburg, FL 33710-7508 | 2006-08-30 |
| 1255372314 | David Long | Chiropractor | 411 Horsham Rd, Horsham, PA 19044-2025 | 2006-06-09 |
| 1134167315 | David Glenn Long | Dentist | 1697 142nd Ave, Dorr, MI 49323-9426 | 2006-06-02 |
| 1710931571 | David R Long | Physical Therapist | 1672 West College St, Pulaski, TN 38478 | 2006-05-19 |
| 1922065069 | David A Long II | Emergency Medicine | 700 S Telephone Road, Moore, OK 73160 | 2006-05-01 |
| 1538780374 | David Long | Student in an Organized Health Care Education/Training Program | 700 19th St S, Birmingham, AL 35233-1927 | 2020-05-04 |
| 1205398997 | David Long | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2019-04-02 |
| 1225457161 | David Michael Long | Dentist | 78461 Highway 111, La Quinta, CA 92253 | 2014-04-08 |
| Street Address |
841 JIMMY ANN DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530923 | Fariya S Afridi | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2005-09-29 |
| 1285126482 | Steven Thomas Batton | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2018-06-04 |
| 1932624426 | Maryann Ethel Barrett | Nurse Practitioner | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2017-08-07 |
| 1831642032 | Angela Baldwin | Counselor | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2016-07-25 |
| 1609255421 | Ashley Morin | Counselor | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-05-26 |
| 1720467608 | Sarah-elisabeth Priest | Counselor | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-05-25 |
| 1649662198 | Halifax Behavioral Services | Community/Behavioral Health | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-02-20 |
| 1295135481 | Jessica N Boquet | Counselor | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2014-08-26 |
| 1760812861 | Elizabeth Lopez | Community Health Worker | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2013-11-26 |
| 1497192504 | Michelle Protko | Counselor | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1841746658 | Terrell Irvin | Case Manager/Care Coordinator | 240 N. Frederick Ave, Daytona Beach, FL 32114 | 2016-08-31 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1871912329 | Darrell Anthony Shell | Case Manager/Care Coordinator | 435 S Ridgewood Ave # 118, Daytona Beach, FL 32114-4927 | 2014-04-14 |
| 1376971317 | Walter Craig Green Jr. | Case Manager/Care Coordinator | 259 Bill France Blvd. Suite 200, Daytona Beach, FL 32114 | 2013-10-30 |
| 1477806743 | Rhonda Levette Williams | Case Manager/Care Coordinator | 827 Kottle Cir N, Daytona Beach, FL 32114-4720 | 2012-10-23 |
| 1700135308 | Fred Baker | Case Manager/Care Coordinator | 160 N. Beach St., Daytona Beach, FL 32114 | 2012-08-29 |
| 1740538933 | Raegan L Jones | Case Manager/Care Coordinator | 160 North Beach Street, Daytona Beach, FL 32114-3314 | 2012-08-21 |
| 1083980387 | Teresa M Broxton | Case Manager/Care Coordinator | 401 N Ridgewood Avenue, Daytona Beach, FL 32114 | 2012-03-30 |
| 1396971156 | Erica N Simpson | Case Manager/Care Coordinator | 521 Cannon St, Daytona Beach, FL 32114-2503 | 2009-06-08 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on DAVID T 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.