Tracy Dinah Long

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

37V239421202 Issued in OK

Practice address

2629 W I 44 Service Rd Ste 202
Oklahoma City, OK 73112-3762

Phone

(405) 605-1865

NPI assigned

Jun 18, 2017

Sex

Female

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

State licenses

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1669902128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SW 84TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596102",
            "telephone_number": "405-505-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 W I 44 SERVICE RD STE 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123762",
            "telephone_number": "405-605-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TRACY",
        "middle_name": "DINAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OK",
            "license": "37V239421202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Allene Long
• Payden Nicole Long
• Randell Long
• Rosie Long, LPN,IBCLC,RLC
• Shelby-Lynn Long
• Travis Kyle Long, ATC
• Vertina Nashell Long, BHRS SPECIALIST
• Wesley Cornell Long, PHD
• Whitney Long, R.D.
• Chuck Longacre

• Nurse's Aide in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse's Aide in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.