Individual provider Active NPI

Kiana Long, D.O.

  • Family Medicine Physician
  • Trenton, MO
National Provider Identifier
1285807362
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20100000750 Issued in MO
Practice address
191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343
Phone
(660) 358-5700
NPI assigned
Apr 9, 2008
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20100000750 MO Primary

Addresses

Primary practice location

191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343

Mailing address

1109 SE Meridian Dr
Lees Summit, MO 64081-3149
Phone (925) 354-6074

Other practice location 1

705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941

Other practice location 2

705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000019 MO Practitioner - Family PracticePractitioner - Emergency Medicine 5496884397 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20100000750MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General John J Pershing Memorial Hospital Association CurrentSince May 29, 2015 Accepting new patients
Macon County Samaritan Hospital CurrentSince Mar 1, 2016 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Jan 15, 2018 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Jan 15, 2018 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince May 29, 2015 Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1285807362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SE MERIDIAN DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813149",
            "telephone_number": "925-354-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 IOWA BLVD",
            "address_2": "WRIGHT MEMORIAL HOSPITAL",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343",
            "telephone_number": "660-358-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 N College St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "MO",
            "postal_code": "644021433",
            "country_code": "US",
            "telephone_number": "660-726-3941",
            "fax_number": "660-726-3946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 N College St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "MO",
            "postal_code": "644021433",
            "country_code": "US",
            "telephone_number": "660-726-3941",
            "fax_number": "660-726-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KIANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "20100000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.