Connie Longwell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN208754 Issued in WV

Practice address

4697 Harrison St
Bellaire, OH 43906-1338

Phone

(740) 968-7006

Fax

(740) 968-7256

NPI assigned

Jul 15, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1225412653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 HARRISON ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061338",
            "telephone_number": "740-968-7006",
            "fax_number": "740-968-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 HARRISON ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061338",
            "telephone_number": "740-968-7006",
            "fax_number": "740-968-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40060 National Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "OH",
            "postal_code": "437199763",
            "country_code": "US",
            "telephone_number": "740-782-0092 x208",
            "fax_number": "740-782-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "CONNIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "RN208754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Bellaire, OH
• Providers in Bellaire, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.