Patricia Augusta Long, M.S.ED, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3721 Issued in FL

Practice address

1895 Bayou Dr
Navarre, FL 32566-7601

Phone

(914) 656-3126

NPI assigned

Jan 8, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1396333944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 INDEPENDENCE RD",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445601",
            "telephone_number": "914-656-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BAYOU DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667601",
            "telephone_number": "914-656-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PATRICIA",
        "middle_name": "AUGUSTA",
        "credential": "M.S.ED, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Jenifer Lindsey, LMHC, LPC
• Michaela Livingston
• Celine Loiselle, OTR/L
• Hannah Lombard
• Lee Londo, LMHC
• Harold E Love, LMHC, PH.D.
• Latoya Loveless-Knox, CERTIFIED HAIR LOSS
• Amber Candice Mackenzie, LCAQ
• Maika Healthcare, LLC
• Meghan Majeski, PT, DPT

• Athletic Trainer in Navarre, FL
• Providers in Navarre, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.