Erica Denise Long, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25975 Issued in TN

Practice address

111 County Road 258
Athens, TN 37303-6567

Phone

(423) 506-5310

NPI assigned

Aug 16, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD
• Neighboring Nurses Association

  • Case Manager/Care Coordinator
  • Athens, TN
  • NPI 1083360135
  NPD Authorized official
• Sweetwater Hospital Association

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
  • NPI 1558995399

  Family

  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1467008128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COUNTY ROAD 258",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373036567",
            "telephone_number": "423-506-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COUNTY ROAD 258",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373036567",
            "telephone_number": "423-506-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ERICA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77186204",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elong3@live.maryville.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 County Road 258",
            "city": "Athens",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373036567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer H Light, P.A.
• Lillard Chiropractic PA
• James Stewart Lillard II, DC
• Lincare Inc.
• Michelle Lynette Lindsay, ATC
• Melanie Long, FNP,CS
• Russell E Long, CRNA
• Jeffrey Neil Longenecker, PA-C
• Love Without Walls Adult Care
• Lori Burton Loveday, PT

• Family Nurse Practitioner in Athens, TN
• Providers in Athens, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.