Alica Long, M.A. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-973 Issued in WY

Practice address

202 Ross Ave
Gillette, WY 82716-3724

Phone

(307) 689-3611

Fax

(307) 670-8032

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Hearing Solutions LLC

  • Audiologist
  • Gillette, WY
  • NPI 1336463611
  Medicare reassignment NPD Authorized official
• Western ENT Associates, PC

  • Otolaryngology Physician
  • Scottsbluff, NE
  • NPI 1538183207
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1659385813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROSS AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163724",
            "telephone_number": "307-689-3611",
            "fax_number": "307-670-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROSS AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163724",
            "telephone_number": "307-689-3611",
            "fax_number": "307-670-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALICA",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WY",
            "license": "A-973",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507621740",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMENTO GBA RR MEDICARE",
            "identifier": "P00297942",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA MEDICARE",
            "identifier": "W308228",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Andrea Agusta Lind, LPC
• Jennifer Albers Linden, MD
• Dylan Lindsay, PA-C
• Jon K Lindstrom, RPH
• Jessica Marie Long, PTA
• Loop Care LLC
• Patrick James Love, DDS
• Tanner Low, M.S., CFY-SLP
• Heidi Lowe

• Audiologist in Gillette, WY
• Providers in Gillette, WY by specialty
• Audiologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.