Individual provider Active NPI

Nancy Booth-Long, FNP-C

  • Family Nurse Practitioner
  • Brevard, NC
National Provider Identifier
1649700733
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009562 Issued in NC
Practice address
1664 Probart St
Brevard, NC 28712-6644
Phone
(828) 226-1980
NPI assigned
Jun 13, 2017
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009562 NC
Family Nurse Practitioner 363LF0000X 5009562 NC Primary

Addresses

Primary practice location

1664 Probart St
Brevard, NC 28712-6644

Mailing address

380 E Main St
Brevard, NC 28712-3835
Phone (828) 490-2556

Other practice location 1

187 Medical Park Dr
Brevard, NC 28712-4189
Phone (828) 884-9362

Other practice location 2

380 E Main St
Brevard, NC 28712-3835
Phone (540) 988-6117

Other practice location 3

16825 Rosman Hwy
Lake Toxaway, NC 28747-9593
Phone (828) 862-6900

Other practice location 4

50 Doctors Dr Ste 2
Hendersonville, NC 28792-7209
Phone (828) 684-2587

Other practice location 5

123 E Main St Ste 102
Brevard, NC 28712-4520
Phone (855) 774-5433

Other practice location 6

377 Gallimore Rd
Brevard, NC 28712
Phone (828) 884-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822000817 NC Practitioner - Nurse Practitioner 0547532830 Reassigns benefits to 2 organizations
I20230217000796 VA Practitioner - Nurse Practitioner 0547532830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009562NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 18, 2023 Accepting new patients
American Advanced Practice Network, P.C. Nurse Practitioner CurrentSince Jun 14, 2022 Accepting new patients
Davidson River Family Medicine PLLC Past Accepting new patients
Fletcher Hospital Inc. PastSince Jun 6, 2021 Accepting new patients

Locations

1 Brian Blvd
Ste C
Arden, NC 28704
Phone (828) 641-0960

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

Organizations & group practices 4

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1649700733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123835",
            "telephone_number": "828-490-2556",
            "fax_number": "336-852-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 PROBART ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287126644",
            "telephone_number": "828-226-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-884-9362",
            "fax_number": "828-884-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 E Main St",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123835",
            "country_code": "US",
            "telephone_number": "540-988-6117",
            "fax_number": "336-852-5626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16825 Rosman Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Toxaway",
            "state": "NC",
            "postal_code": "287479593",
            "country_code": "US",
            "telephone_number": "828-862-6900",
            "fax_number": "828-862-6904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Doctors Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287927209",
            "country_code": "US",
            "telephone_number": "828-684-2587",
            "fax_number": "828-650-8257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 E Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124520",
            "country_code": "US",
            "telephone_number": "855-774-5433",
            "fax_number": "828-209-5329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Gallimore Rd",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "28712",
            "country_code": "US",
            "telephone_number": "828-884-9030",
            "fax_number": "828-884-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH-LONG",
        "first_name": "NANCY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.