Rebecca Marie Long, MSN RN CWCN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

RN00112120 Issued in WA

Practice address

23915 Rd H.5 NW
Ephrata, WA 98823

Phone

(509) 754-2941

Fax

(509) 754-1049

NPI assigned

Mar 6, 2014

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1487070033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 100",
            "address_2": "23915 RD H.5 NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "98823",
            "telephone_number": "509-754-2941",
            "fax_number": "509-754-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 RD H.5 NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "98823",
            "telephone_number": "509-754-2941",
            "fax_number": "509-754-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "MSN RN CWCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WA",
            "license": "RN00112120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Rae Huber
• Yoon Jea Im
• Brian James Jacobsen, D.M.D.
• Poonam Kalsi
• Eve Keen, LMP
• Evelin Lopez-Sanchez
• Ann E Mackenzie, L.M.P.
• Nadine Strand Mahler, ARNP
• Jill M McDaniel, LMP
• Rene C McKee, LMP

• All providers in Ephrata, WA
• Wound Care Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.