Letevia Herlong, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06170834 Issued in AL

Practice address

713 J L Chestnut Boulevard
Selma, AL 36702

Phone

(334) 847-7428

NPI assigned

Jul 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

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.

• Rural Health Medical Program, Inc.

  dba Marion Health Center

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  dba Vredenburgh Health Center

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD
• Rural Health Medical Program, Inc

  dba Thomaston Health Center

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032
  NPD
• Rural Health Medical Program, Inc

  dba Pine Apple Health Center

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391
  NPD
• Rural Health Medical Program, Inc

  dba Monroeville Health Center

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121
  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc

  dba RHMPI - Selma Health Center and Administrative Office

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950
  NPD
• Rural Health Medical Program, Inc.

  dba Uniontown Health Services

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757
  NPD
• Rural Health Medical Program, Inc.

  dba Yellow Bluff Health Center

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1659893469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 REESE DR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350074009",
            "telephone_number": "205-370-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 J L CHESTNUT BOULEVARD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36702",
            "telephone_number": "334-847-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLONG",
        "first_name": "LETEVIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F06170834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Randolph Henderson, DC
• Erica Henderson
• John David Henderson, D.M.D.
• Pelham H Henry Jr., DMD
• Clayton Henson, DPT
• Charles Herrington, RKT
• Phillip Hicks, MD
• Jennifer Hightower, CRNP
• David W Hodo, MD
• Daniel Hoke

• Family Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.