TAYLOR LONG (NPI# 1861927295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861927295 |
| Entity Type | Individual |
| Full Name | TAYLOR LONG |
| Other Name | TAYLOR BRAZELTON |
| Practice Address |
15855 19 Mile Rd Clinton Twp MI 48038-3504 |
| Practice Telephone | 5862632969 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
2014015956 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655416 | Taylor S Long | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-23 |
| 1841701406 | Taylor Long | Behavior Technician | 23046 Avenida De La Carlota Ste 600, Laguna Beach, CA 92653 | 2017-10-22 |
| Street Address |
15855 19 MILE RD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991177 | Timothy Peter Boufford | Internal Medicine | 15855 19 Mile Rd, Henry Ford Macomb, Clinton Twp, MI 48038-3504 | 2005-06-02 |
| 1144857400 | Brent Geers | Orthopaedic Surgery | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2020-03-26 |
| 1245867118 | Michael Sochacki | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2020-03-23 |
| 1184259459 | Christina Lynn James | Nurse Practitioner | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2020-03-07 |
| 1417596396 | Amanda Marie Disanto | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-12-25 |
| 1114566189 | Jeffrey M Kirby | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-12-23 |
| 1164071783 | Ryan Amber Beebe | Nurse Practitioner | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-09-06 |
| 1215590583 | Sharan Mullen | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-04-22 |
| 1669934873 | Haley Svrcina Lehman | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-04-05 |
| 1336600311 | Joseph Gerald Lucido | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2019-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941116 | Suzanne Leona Purvis | Clinical Nurse Specialist | 3601 W 13 Mile Rd # Mc305, Royal Oak, MI 48073-6712 | 2019-09-18 |
| 1174055362 | Lilian Paciorkowski | Clinical Nurse Specialist | 4600 Investment Dr Ste 200, Troy, MI 48098-6375 | 2017-03-28 |
| 1558513226 | Roberta Lee Kennedy | Clinical Nurse Specialist | 2700 Robert T. Longway Blvd, Suite A, Flint, MI 48503 | 2008-10-14 |
| 1700050531 | Ann Holmgren Harris | Clinical Nurse Specialist | 17353 Hazel St, Suite 212, Spring Lake, MI 49456 | 2008-04-14 |
| 1699328393 | Mary Tibbe | Clinical Nurse Specialist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-07-22 |
| 1093899569 | Baddigam Family Psychiatric Associates Pllc | Clinical Nurse Specialist | 43211 Dalcoma Dr, Ste. 3, Clinton Township, MI 48038-6309 | 2006-10-24 |
| 1508886375 | Erickson Health Medical Group of Michigan PC | Clinical Nurse Specialist | 41100 Fox Run, Novi, MI 48377-4804 | 2006-07-21 |
| City | CLINTON TWP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on TAYLOR 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.