THERESA ADELE LONG (NPI# 1962836379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962836379 |
| Entity Type | Individual |
| Full Name | THERESA ADELE LONG |
| Practice Address |
10099 Webb Rd Logan OH 43138-8450 |
| Practice Telephone | 7405830772 |
| Mailing Telephone | 7405830772 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN089455 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217933 | Theresa Long | Counselor | 521 Chadron Ave, Chadron, NE 69337-2636 | 2020-05-23 |
| 1194070144 | Theresa Long | Massage Therapist | 820 Se Highway 101 Ste A3, Lincoln City, OR 97367-2768 | 2012-07-16 |
| 1073631032 | Theresa D Long | Physical Therapist | 4815 S Harvard Ave Ste 455, Tulsa, OK 74135-3078 | 2007-03-27 |
| 1902338429 | Theresa Marie Long | Ophthalmology | John A Moran Eye Ctr, 65 Mario Capecchi Drive, Salt Lake City, UT 84132-0001 | 2017-04-03 |
| 1831300888 | Theresa Genetelli Long | Nurse Practitioner | 9507 Hospital Ave., Nassawadox, VA 23413 | 2007-05-24 |
| Street Address |
10099 WEBB RD |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407274186 | Lori Allman | Licensed Practical Nurse | 9692 Coakley Rd, Logan, OH 43138-8451 | 2014-03-31 |
| 1629329420 | Aveline A Keck | Licensed Practical Nurse | 15520 Rhoads Rd, Logan, OH 43138-8898 | 2012-09-20 |
| 1912283250 | Michelle Gene Renko | Licensed Practical Nurse | 12430 State Route 93 N, Logan, OH 43138-9306 | 2011-11-01 |
| 1215235288 | Angela Mckee | Licensed Practical Nurse | 31648 Mays Rd, Logan, OH 43138-9782 | 2011-03-01 |
| 1376859447 | Heather Christene Acord | Licensed Practical Nurse | 29245 Fairview Ridge Rd, Logan, OH 43138-9494 | 2010-08-26 |
| 1023322484 | Judy May Linn | Licensed Practical Nurse | 1255 Missouri Ave., Logan, OH 43138-9381 | 2010-07-27 |
| 1154649499 | Theresa Jean Myers | Licensed Practical Nurse | 798 E Main St, Logan, OH 43138-1740 | 2010-05-11 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1003140716 | Shannon Marie O'harra | Licensed Practical Nurse | 684 E Hunter St, Logan, OH 43138-1734 | 2009-09-28 |
| 1841433273 | Carrie Jo Whalen | Licensed Practical Nurse | 77 N High St, Logan, OH 43138-1601 | 2009-04-15 |
| Find all providers in LOGAN | ||||
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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.