Active NPI
Mary Caroleen Arnold Long, RN CNS
- Clinical Nurse Specialist
- Cincinnati, OH
National Provider Identifier
1386712958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- COA05714NS
- Practice address
- 15 W Galbraith Rd
Cincinnati, OH 45216 - Phone
- (513) 679-8483
- Fax
- (513) 984-5897
- NPI assigned
- Dec 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | COA05714NS | OH | Primary |
| Clinical Nurse Specialist | 364S00000X | 28127221A | IN |
Addresses
Primary practice location
15 W Galbraith Rd
Cincinnati, OH 45216
Mailing address
4177 Eastlake Dr
Mason, OH 45040-8985
Phone (513) 398-4095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404795 | Medicaid | OH |
Other names 1
- Mary Caroleen Arnold Andrychuk
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28127221A | IN | MD | Clinical Nurse Specialist |
| COA05714NS | OH | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| West Chester Hospital LLC | Past | Accepting new patients | |
| Daniel Drake Center for Post-Acute Care, LLC | Past | Accepting new patients |
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.
-
- Long Term Care Hospital
- Cincinnati, OH
- NPI 1558355487
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386712958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4177 EASTLAKE DR",
"city": "MASON",
"state": "OH",
"postal_code": "450408985",
"telephone_number": "513-398-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45216",
"telephone_number": "513-679-8483",
"fax_number": "513-984-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD LONG",
"first_name": "MARY",
"middle_name": "CAROLEEN",
"credential": "RN CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "COA05714NS",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "28127221A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2404795",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ARNOLD ANDRYCHUK",
"middle_name": "CAROLEEN",
"credential": "RN CNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.