Chelsea Paige Long, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Blountville, TN
NPI 1265098271 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1265098271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001273749 (VA)
- Practice address
- 154 Blountville Byp
Blountville, TN 37617-4575 - Phone
- (423) 279-2777
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001273749 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001273749 | VA | Yes |
Addresses
Primary practice location
154 Blountville Byp
Blountville, TN 37617-4575
Mailing address
154 Blountville Byp
Blountville, TN 37617-4575
Phone (423) 279-2777
Other practice location 1
154 Blountville Byp
Blountville, TN 37617-4575
Phone (423) 279-2777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3170197 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | clong@sullivanhealth.org | Health Information Exchange (HIE) |
Other providers in Blountville, TN
- Ashton Kay Lawson
- Trevor Wayne Lawson
- Pamela Denise Lewis
- Tanya Rae Light
- Sarah E Linnane
- Autumn Samantha Longworth
- Russell B Mantooth
- Mark a. Bowers
- Everett Ellison McDuffie
- Heather Leann McElyea
All providers in Blountville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.