Fabiana Demaria Long, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11022441 Issued in FL

Practice address

407 N Parsons Ave Ste 104
Brandon, FL 33510-4537

Phone

(813) 681-5880

NPI assigned

Oct 14, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gehlen Counseling and Consulting LLCGroup PAC ID 3173047214, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10509/brand/1/csg/1/fhir/r4

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.

• Gehlen Counseling and Consulting LLC

  • Adult Mental Health Clinic/Center
  • Rockford, MN
  • NPI 1841919826
  Medicare reassignment Care Compare group NPD
• Brandon TMS & Psychiatry

  • General Practice Physician
  • Brandon, FL
  • NPI 1730600495
  NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1528784121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N PARSONS AVE STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104537",
            "telephone_number": "813-681-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N PARSONS AVE STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104537",
            "telephone_number": "813-681-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "FABIANA",
        "middle_name": "DEMARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Loftis, ARNP, FNP-C
• Caitlin Logan-Lau
• Alexandra Logan, M.S. CCC-SLP
• Shawn Marie Logston
• Cameron Z Long
• Jeanne Althea Long, LCSW
• Latranette Long, LMHC-QS, LPC
• Steven Long, DC
• Catherine Longsworth
• Adlin M Loperena Bonilla, MSW

• Psychiatric/Mental Health Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.