Individual provider Active NPI

Dawn Nichole Long, CNM

  • Advanced Practice Midwife
  • Las Vegas, NV
National Provider Identifier
1497041115
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
828524 Issued in NV
Practice address
2011 Pinto LN Ste 200
Las Vegas, NV 89106-4007
Phone
(702) 382-3200
Fax
(702) 382-3575
NPI assigned
Jun 21, 2011
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 328181 AZ
Advanced Practice Midwife 367A00000X 622 NM
Advanced Practice Midwife 367A00000X 828524 NV Primary

Addresses

Primary practice location

2011 Pinto LN Ste 200
Las Vegas, NV 89106-4007

Mailing address

2011 Pinto LN Ste 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200

Other practice location 1

36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334
Phone (480) 987-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221101002564 NV Practitioner - Certified Nurse Midwife (CNM) 0143493700 Reassigns benefits to 1 organization
I20250908001860 AZ Practitioner - Certified Nurse Midwife (CNM) 0143493700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Aug 6, 2024 Accepting new patients
Hera Health Medical Group - Az PLLC CurrentSince Aug 25, 2025 Accepting new patients
Perinatal Associates of New Mexico, LTD PastSince Aug 25, 2025 Accepting new patients
Perinatal Associates of New Mexico, LTD PastSince May 1, 2020 Accepting new patients

Locations

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

36375 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 987-5500

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

Interoperability endpoints

  • Direct secure messaging: dawn.long.1@27017.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1497041115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064007",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064007",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36375 N Gantzel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407334",
            "country_code": "US",
            "telephone_number": "480-987-5500",
            "fax_number": "480-987-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "DAWN",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "328181",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "622",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "828524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.