Active NPI
Amy Long, CPNP
- Pediatric Nurse Practitioner
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 742708
- Practice address
- 1414 E Walnut St
Seguin, TX 78155-5175 - Phone
- (830) 491-5019
- Fax
- (830) 491-5109
- NPI assigned
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 742708 | TX | Primary |
Addresses
Primary practice location
1414 E Walnut St
Seguin, TX 78155-5175
Mailing address
1414 E Walnut St
Seguin, TX 78155-5175
Phone (830) 491-5019
Other practice location 1
427 Bluebonnet Rd Ste 100
LA Vernia, TX 78121-5044
Phone (830) 217-0129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742708 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Plus Pediatrics, PLLC | Pediatrics | Current | Accepting new patients |
Locations
427 Bluebonnet Rd
Ste 100
La Vernia, TX 78121
Phone (830) 217-0129
427 Bluebonnet Rd
Ste A100
La Vernia, TX 78121
1414 E Walnut St
Seguin, TX 78155
Phone (830) 379-0299
932 S State Highway 123 Byp
Seguin, TX 78155
Phone (830) 379-3999
Organizations & group practices 1
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": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1376823724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E WALNUT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555175",
"telephone_number": "830-491-5019",
"fax_number": "830-491-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 E WALNUT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555175",
"telephone_number": "830-491-5019",
"fax_number": "830-491-5109"
}
],
"practiceLocations": [
{
"address_1": "427 Bluebonnet Rd Ste 100",
"address_purpose": "LOCATION",
"city": "LA Vernia",
"state": "TX",
"postal_code": "781215044",
"country_code": "US",
"telephone_number": "830-217-0129",
"fax_number": "830-239-8428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "AMY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "742708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.