Tracey Bates Long, RN, APRN, PHD

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

822517 Issued in NV

Practice address

7501 Fannin St Ste 705
Houston, TX 77054-1958

Phone

(713) 589-5283

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26729/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diabetes Management Consultants LLC

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1073791851
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1104478551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 HABERSHAM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834551",
            "telephone_number": "702-301-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 FANNIN ST STE 705",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541958",
            "telephone_number": "713-589-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TRACEY",
        "middle_name": "BATES",
        "name_prefix": "Dr.",
        "credential": "RN, APRN, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "822517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Jerry Long, D.D.S.
• Samantha Long, MD
• Scott Wesley Long, M.D., PH.D.
• Shunta Long, LPC
• Susan D Long, LCSW
• Long.P.Nguyen M.D., P.a.
• Rebecca Kathryn Longacre, FNP-C
• Bernard Joseph Longano, LMFT, LCSW
• Deborah M Longano, PHD
• Frank Longano, MD

• Primary Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.