Individual provider Active NPI

Gaye Lynn Long, MSE, CCC-SLP

  • Speech-Language Pathologist
  • North Little Rock, AR
National Provider Identifier
1578730883
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
541 Issued in AR
Practice address
2200 N Poplar St
North Little Rock, AR 72114-2322
Phone
(501) 771-8042
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 541 AR Primary

Addresses

Primary practice location

2200 N Poplar St
North Little Rock, AR 72114-2322

Mailing address

1724 Osceola Dr
North Little Rock, AR 72116-4531
Phone (501) 833-0337

Other identifiers 1

IdentifierTypeStateIssuer
166015721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
541ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski County Tri-District Early Childhood Program Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1578730883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 OSCEOLA DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721164531",
            "telephone_number": "501-833-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N POPLAR ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142322",
            "telephone_number": "501-771-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GAYE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSE, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166015721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.