Individual provider Active NPI

Debbie Long, RN

  • Registered Nurse
  • Taylorsville, KY
National Provider Identifier
1609322841
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1060968 Issued in KY
Practice address
88 Spears Drive
Taylorsville, KY 40071
Phone
(502) 477-8146
Fax
(502) 477-5624
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1060968 KY Primary

Addresses

Primary practice location

88 Spears Drive
Taylorsville, KY 40071

Mailing address

Spencer County Health Department 88 Spears Drive
Taylorsville, KY 40071
Phone (502) 477-8146

Other identifiers 1

IdentifierTypeStateIssuer
1060968OtherKYKY NURSES LICENSE NUMBER

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1060968KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Central District Health Dept. Past Accepting new patients
North Central District Health Dept. Past Accepting new patients

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1609322841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPENCER COUNTY HEALTH DEPARTMENT 88 SPEARS DRIVE",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "40071",
            "telephone_number": "502-477-8146",
            "fax_number": "502-477-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SPEARS DRIVE",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "40071",
            "telephone_number": "502-477-8146",
            "fax_number": "502-477-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DEBBIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1060968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY NURSES LICENSE NUMBER",
            "identifier": "1060968",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.