Dennis W Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

096892 Issued in MO

Practice address

224 N Frederick St
Cape Girardeau, MO 63701-5626

Phone

(573) 332-0121

Fax

(573) 332-0120

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Midtown Family Medical Center

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1124142856
  NPD (past)
• Midtown Family Medical Center LLC

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1922122076
  NPD (past)
• River City Health Clinic, Inc

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1689725400
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1295853547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637021933",
            "telephone_number": "573-332-7992",
            "fax_number": "573-332-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015626",
            "telephone_number": "573-332-0121",
            "fax_number": "573-332-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DENNIS",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "096892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Williams Livesay, PTA
• Nancy Wingsze Lo, MD
• Audrey Logan
• Nicole Marie Logan, PMHNP-BC
• Steven W Logel, PT
• Kiarra Long
• Sara Anne Lorenz, M.D.
• Jennifer Marie Lovegreen, MD
• Jessica Sarah Ludwig, FNP-BC
• Marc Lumsden, DO

• Family Nurse Practitioner in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.