Individual provider Active NPI

Tina Lynn Long, CNP

  • Nurse Practitioner
  • Ironton, OH
National Provider Identifier
1295248995
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022043 Issued in OH
Practice address
1408 Campbell Dr
Ironton, OH 45638-2301
Phone
(740) 533-9710
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.022043 OH Primary

Addresses

Primary practice location

1408 Campbell Dr
Ironton, OH 45638-2301

Mailing address

1408 Campbell Dr
Ironton, OH 45638-2301
Phone (740) 533-9710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171221002222 OH Practitioner - Nurse Practitioner 7618235557 Reassigns benefits to 1 organization
I20220727000242 WV Practitioner - Nurse Practitioner 7618235557 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Observation Medical Group, PLLC CurrentSince Jun 28, 2022 Accepting new patients
Valley Emergency Physicians Ohio LLC Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Nurse Practitioner CurrentSince Jun 28, 2022 Accepting new patients

Locations

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: tina.vermillion@somc.medicity.net
  • Direct secure messaging: vermillt@somc.gwaydirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1295248995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-533-9710",
            "fax_number": "740-533-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-533-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TINA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.