JENNIFER R. BLOOM-LONG (NPI# 1881724284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881724284 |
| Entity Type | Individual |
| Full Name | JENNIFER R. BLOOM-LONG |
| Credential | CNP |
| Practice Address |
324 Wilmington Ave Dayton OH 45420-1890 |
| Mailing Address |
4201 Woodbine Ave Dayton OH 45420-2751 |
| Practice Telephone | 9374161537 |
| Mailing Telephone | 9372522411 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN-241081 NP-087 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
324 WILMINGTON AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180959 | Amy L Mestemaker | Internal Medicine | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2005-10-31 |
| 1033516240 | Theresa Kern | Family Medicine | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-12-03 |
| 1073917621 | Pamela Sue Lamb | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-10-10 |
| 1285057588 | John Sillman | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-01-23 |
| 1134468721 | Karmen Paige Arnett | Nurse Practitioner | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2013-02-03 |
| 1063742237 | Marianna Karine Sunderlin | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2010-01-11 |
| 1821325564 | Jacqueline Sue Matthews | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2009-11-16 |
| 1629220439 | Linda Marie Quinlin | Nurse Practitioner | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2008-10-13 |
| 1750591525 | Rebecca Shaefer Rodgers | Pharmacist | 324 Wilmington Ave, Department of Pharmacy, Dayton, OH 45420-1890 | 2007-05-23 |
| 1821121203 | Kimberly Lee | Nurse Practitioner | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1669073052 | Brittany Ann Flynn | Nurse Practitioner | 2200 Miami Valley Dr, Dayton, OH 45459-4783 | 2020-11-03 |
| 1164064077 | Laura Cristina Schimmoeller | Nurse Practitioner | 4100 W 3rd St, Dayton, OH 45428-9000 | 2019-10-11 |
| 1689145013 | Ebenezer Akoi Asiedu | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-12-11 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1740730159 | Karen Christian | Nurse Practitioner | 1520 S Main St Ste 3, Dayton, OH 45409-2643 | 2016-10-10 |
| 1083018030 | Stacey Childress | Nurse Practitioner | 30 E Apple St, Ste 3300, Dayton, OH 45409-2939 | 2014-10-20 |
| 1023359106 | Anne Marie House | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1366787962 | Karla Shearer | Nurse Practitioner | 40 N Main St, Suite 1360, Dayton, OH 45423-1021 | 2012-12-07 |
| 1427309202 | Hannah Marie Moore | Nurse Practitioner | 2132 E 3rd St, Dayton, OH 45403-1991 | 2012-09-20 |
| Find all providers in DAYTON | ||||
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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.