Loretta Long, NMW

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

COA.04228.NM Issued in OH

Practice address

15 Messimer Dr
Newark, OH 43055-1841

Phone

(220) 564-4691

Fax

(220) 564-1975

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Licking Memorial Professional Corp.

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1184707481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551841",
            "telephone_number": "220-564-4691",
            "fax_number": "220-564-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551841",
            "telephone_number": "220-564-4691",
            "fax_number": "220-564-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LORETTA",
        "credential": "NMW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.04228.NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078595",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llong14468@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "15 Messimer Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gage Littlejohn
• LJC Home Care, LLC
• Kaitlin Londot, FNP-C
• Breanna Long
• Heather Long, RN
• Morgan Elaine Long, PHARMD
• Scottie Long, COTA
• Ryan Wesley Longstreth, M.D.
• Lory Dialysis LLC
• Nicole Daniele Loudermilk

• Advanced Practice Midwife in Newark, OH
• Providers in Newark, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.