Christine L Longly, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1423 Issued in AK

Practice address

11331 Ridgecrest Drive
Anchorage, AK 99516

Phone

(907) 346-8013

Fax

(907) 346-4596

NPI assigned

Jun 16, 2014

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1184038457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110398",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110398",
            "telephone_number": "907-346-8013",
            "fax_number": "907-346-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 RIDGECREST DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99516",
            "telephone_number": "907-346-8013",
            "fax_number": "907-346-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLY",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea A Long, AUD
• Vera L Long, LPN
• William D Longhurst, MD
• Erica Longley
• Natalie S Longley, DO
• Haylee Rose Longsine
• Colin Longston
• Anthony Longval Jr.
• Alfred Lonser, M.D.
• Seth Lookhart, DMD

• All providers in Anchorage, AK
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.