Kimberly Athena Long, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009211 Issued in KY

Practice address

7238 W Highway 80
Nancy, KY 42544-8752

Phone

(606) 636-4215

Fax

(606) 636-4215

NPI assigned

Feb 4, 2015

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kentucky Rural Health Information Technology Network IncGroup PAC ID 6608101522, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klong379725@direct.stlukeshealth.org

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

• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1972063204
  Medicare reassignment Care Compare group NPD
• Allergy Asthma & Sinus Center PLLC

  • Allergy Physician
  • Lexington, KY
  • NPI 1326216052

  Nurse Practitioner

  Medicare reassignment NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Good Heart Corporation

  • Cardiovascular Disease Physician
  • London, KY
  • NPI 1124458252
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1043886591
  NPD
• Eastern Pulaski Rural Health Clinic,PLLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1841630654
  NPD (past)
• Home Health of Jefferson Co, LLC

  dba Norton Home Health

  • Home Health Agency
  • Louisville, KY
  • NPI 1871940841
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1245620798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 EVERGREEN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425015890",
            "telephone_number": "606-636-4215",
            "fax_number": "606-636-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 W HIGHWAY 80",
            "city": "NANCY",
            "state": "KY",
            "postal_code": "425448752",
            "telephone_number": "606-636-4215",
            "fax_number": "606-636-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9510 Ormsby Station Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402234082",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KIMBERLY",
        "middle_name": "ATHENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12798047",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100341880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gratitude Adjustment
• Bridget Lynn Halcomb, TCADC, TCM
• Stephanie Ann Marie Haney
• Helping Hands Personal Care, LLC
• Lake Cumberland District Health Dept (Nancy Elementary School)
• Breanna Rena Lowe
• Keri Renee Lykins, PMHNP-BC
• Nancy Family Practice, PLLC
• Nancy Pharmacy
• Kasey June Parks

• Family Nurse Practitioner in Nancy, KY
• Providers in Nancy, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.