Patrice Jeneane Longworth, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

9230232 Issued in FL

Practice address

83 W Miller St
Orlando, FL 32806-2031

Phone

(321) 841-5198

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1396186235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 RIVER BRANCH PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718357",
            "telephone_number": "407-925-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "PATRICE",
        "middle_name": "JENEANE",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "9230232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Ngwenyama Long
• Tammy Yvonne Long, MA, NCC
• Catherine Longa, PHD
• Emily Longmoore, RD
• Jacquelyn Marie Longo, MSW
• Lonnie Aschebrook Acupuncture LLC
• Danielle Telhiard Lonsway, PA-C
• Thomas D Looke, MD, PHD
• Brianne N Loomis, AUD
• Natalia S Looten, CCC-SLP

• Neonatal Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.