Richard Longstreet

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

7369 Bonita Vista Way Apt 202
Tampa, FL 33617-8697

Phone

(813) 765-4080

NPI assigned

Apr 18, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1669169918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 BONITA VISTA WAY APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178697",
            "telephone_number": "813-765-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 BONITA VISTA WAY APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178697",
            "telephone_number": "813-765-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSTREET",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Longley, M.D.
• Carlena Longmire, COTA/L
• John P. Longmire III, D.D.S.
• Carmen Maria Longnecker, OTRL
• Crystal Longoria, NP
• Tara N. Loomis, SW
• Amber Wallace Loper, PA-C
• Cindy Lopera, ARNP
• Nataly Lopera
• Leslie E Lopez - Calderon, MD

• Developmental Disabilities Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.