Alyssa Baltazar Long

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

850 Mill St Ste 100
Reno, NV 89502-1463

Phone

(702) 410-7825

Fax

(702) 946-0409

NPI assigned

Dec 19, 2024

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

Other names 1

• Ione B Long Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1215745500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021829",
            "telephone_number": "702-410-7825",
            "fax_number": "702-946-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021463",
            "telephone_number": "702-410-7825",
            "fax_number": "702-946-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALYSSA",
        "middle_name": "BALTAZAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IONE",
            "last_name": "LONG",
            "middle_name": "B",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Lombardi
• Rosa Lomeli Tapia
• Daphne London
• Christina Loney
• Domingko Loney
• Athena Long
• Elizabeth Dixie Long
• Everett Long
• Haley Jean Long, PAC
• John Long

• Case Manager/Care Coordinator in Reno, NV
• Providers in Reno, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.