BENJAMIN C LONG (NPI# 1982102885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982102885 |
| Entity Type | Individual |
| Full Name | BENJAMIN C LONG |
| Practice Address |
3105 Mcclelland Blvd. Joplin MO 64804 |
| Practice Telephone | 4173475400 |
| Practice Fax Number | 4173470620 |
| Mailing Telephone | 4173475400 |
| Mailing Fax Number | 4173470620 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2018002044 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 506033406 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411398 | Benjamin Long | Specialist/Technologist | 314 Siltstone Rdg, Brandon, MS 39047-6377 | 2010-02-08 |
| 1356836597 | Benjamin Richard Long | Community Health Worker | 6 Kimball Ln Ste 310, Lynnfield, MA 01940-2680 | 2018-06-29 |
| 1043702392 | Benjamin Daniel Long | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-02 |
| 1043731979 | Benjamin S Long | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2017-06-30 |
| 1801276563 | Benjamin Long | Counselor | 540 E 1st St, Waconia, MN 55387 | 2015-06-08 |
| 1710310289 | Benjamin Long | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-08-19 |
| 1609111012 | Benjamin Reeves Long | Chiropractor | 428 Beecher Rd, Gahanna, OH 43230-4562 | 2012-12-11 |
| 1356496848 | Benjamin E. Long | Social Worker | 725 Yokum St, Elkins, WV 26241-3353 | 2007-01-24 |
| Street Address |
3105 MCCLELLAND BLVD. |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699706887 | Derek Wade Miller | Orthopaedic Surgery | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2006-07-05 |
| 1124686886 | Ashley Nichole Trebbe | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2019-05-29 |
| 1619475571 | Kimberly D Thompson | Nurse Practitioner | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2018-01-25 |
| 1912247156 | David Lynn Wigginton Jr. | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880799 | Paige Diane Burress | Nurse Practitioner | 3202 Mcintosh Cir Ste 102, Joplin, MO 64804-3686 | 2017-09-19 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| 1033511159 | Ashley Southern-devoe | Nurse Practitioner | 3302 Mcintosh Cir Ste 2, Joplin, MO 64804-3648 | 2014-09-19 |
| 1760825574 | Melissa G. C. Daugaard | Nurse Practitioner | 3302 Mcintosh Cir Ste 1, Joplin, MO 64804-3648 | 2013-04-10 |
| 1619285400 | Tiffany Nicole George | Nurse Practitioner | 3333 Mcintosh Cir Ste 3, Joplin, MO 64804-3681 | 2010-09-15 |
| 1164525770 | Tracy Nicole Stapleton | Nurse Practitioner | 302 S Joplin, Joplin, MO 64802 | 2006-09-07 |
| 1306876842 | Lorie Mccreary | Nurse Practitioner | 1030 Mcintosh Circle, Ste 1, Joplin, MO 64804 | 2006-07-03 |
| 1053347542 | Sandra J Tinney | Nurse Practitioner | 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 | 2006-06-25 |
| 1730115866 | Corinne T. Stevens | Nurse Practitioner | 3202 Mcintosh Cir Ste 301, Joplin, MO 64804 | 2006-06-23 |
| 1366484461 | Gary Jones | Nurse Practitioner | 2817 Mcclelland Blvd, Suite 224, Joplin, MO 64804-1629 | 2006-06-12 |
| Find all providers in JOPLIN | ||||
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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.