Individual provider Active NPI

Ruthie Anita Long, APRN

  • Family Nurse Practitioner
  • Pearl River, LA
National Provider Identifier
1649573932
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN102300 APO6121 Issued in LA
Practice address
64629 Highway 41
Pearl River, LA 70452-3611
Phone
(985) 863-7100
Fax
(985) 863-0085
NPI assigned
Dec 8, 2010
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN102300 APO6121 LA Primary

Addresses

Primary practice location

64629 Highway 41
Pearl River, LA 70452-3611

Mailing address

64629 Highway 41
Pearl River, LA 70452-3611
Phone (985) 863-7100

Other identifiers 2

IdentifierTypeStateIssuer
05922233MedicaidMS
2145720MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150422001807 LA Practitioner - Nurse Practitioner 3870811888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN102300 APO6121LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 11, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince May 11, 2015 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

64629 Highway 41
Pearl River, LA 70452
Phone (985) 863-7100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2750 Gause Blvd E
Slidell, LA 70461

Organizations & group practices 3

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1649573932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64629 HIGHWAY 41",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523611",
            "telephone_number": "985-863-7100",
            "fax_number": "985-863-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64629 HIGHWAY 41",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523611",
            "telephone_number": "985-863-7100",
            "fax_number": "985-863-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RUTHIE",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN102300 APO6121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05922233",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145720",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, LA

Sources for this page

Verify at the official NPI Registry.