NPIMap

Individual provider Active NPI

Lalida Long, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1285271072
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8578 Issued in CT
Practice address
140 Hazard Ave
Enfield, CT 06082-5423
Phone
(860) 714-9733
NPI assigned
Nov 29, 2019
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8578 CT Primary

Addresses

Primary practice location

140 Hazard Ave
Enfield, CT 06082-5423

Mailing address

239 Cedar Ridge Dr
Glastonbury, CT 06033-1815
Phone (203) 317-0608

Other practice location 1

349 Bidwell St
Manchester, CT 06040-6471
Phone (860) 647-9191

Other practice location 2

428 Columbus Avenue
Internal Medicine
New Haven, CT 06519-1233
Phone (203) 503-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001295 CT Practitioner - Nurse Practitioner 8628405644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey P Thompsen MD LLCGroup PAC ID 0345253985, 3 clinicians

Practice addresses (Care Compare)

15 Palomba Dr
Suite 11
Enfield, CT 06082-3853
Phone (860) 253-9950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8578CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey P. Thompsen, M.D., LLC CurrentSince Jun 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 1, 2021 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Nov 30, 2020 Accepting new patients

Locations

15 Palomba Dr
Ste 11
Enfield, CT 06082
Phone (860) 253-9950

15 Palomba Dr
Ste 2
Enfield, CT 06082
Phone (860) 253-9950

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

345 N Main St
Ste 112
West Hartford, CT 06117
Phone (860) 236-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1285271072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CEDAR RIDGE DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331815",
            "telephone_number": "203-317-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825423",
            "telephone_number": "860-714-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Bidwell St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060406471",
            "country_code": "US",
            "telephone_number": "860-647-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Columbus Avenue",
            "address_2": "Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191233",
            "country_code": "US",
            "telephone_number": "203-503-3000",
            "fax_number": "203-503-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "LALIDA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.