Teresa Kay Long, RN, BSN, COHN-S

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

103766 Issued in MO

Practice address

197 Replacement Ave
Suite 139
Fort Leonard Wood, MO 65473-9089

Phone

(573) 329-1933

Fax

(573) 329-8521

NPI assigned

Sep 8, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1548577885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "address_2": "OCCUPATIONAL HEALTH BOX 1227",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-329-1993",
            "fax_number": "573-329-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 REPLACEMENT AVE",
            "address_2": "SUITE 139",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739089",
            "telephone_number": "573-329-1933",
            "fax_number": "573-329-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, COHN-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "MO",
            "license": "103766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keonyoung Lim, MSW
• Kelsie Jean Lineback, DHA
• Taylor Nicole Lockling
• Jason Scott Logan, MSPT
• Nicole A Lonergan, LPC
• Dennisse Lopez Rodriguez
• Rachel Lopp, MS, LAT, ATC
• Debbie D. Love, PSY.D.
• Brian Scott Luetke, D.O.
• Michael Harry Luzecky, M.D.

• Occupational Health Registered Nurse in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Occupational Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.