Individual provider Active NPI

Dayna A Long, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1417359266
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001383 Issued in IL
Practice address
230 E Ohio St # 4101768
Chicago, IL 60611-3265
Phone
(847) 380-9924
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277001383 IL Primary

Addresses

Primary practice location

230 E Ohio St # 4101768
Chicago, IL 60611-3265

Mailing address

230 E Ohio St # 4101768
Chicago, IL 60611-3265
Phone (708) 606-1147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20141125000178 IL Practitioner - Nurse Practitioner 4486976677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001383ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Behavioral Health, PLCC Family PastSince Nov 18, 2025 Accepting new patients
Rippl Care PC of New Jersey, PC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dayna.long.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 2

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417359266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST # 4101768",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "708-606-1147",
            "fax_number": "847-380-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST # 4101768",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "847-380-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DAYNA",
        "middle_name": "A",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.