Lillian B Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R17515 Issued in ND

Practice address

420 S 7TH St
Oakes, ND 58474-2024

Phone

(701) 742-3267

Fax

(701) 742-3201

NPI assigned

Jun 30, 2010

Last updated

Jan 20, 2014By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Southeast Medical Center PC

  • Community Health Clinic/Center
  • Lisbon, ND
  • NPI 1124034509
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1699086124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584740050",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742024",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LILLIAN",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R17515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699086124",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00852224",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84000",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Marie Hunter
• James River Counseling Services, PC
• Karen Kaiser, NP
• Tiffany Anna Larson, OD
• Richard R Lauderdale, PAC
• Cayla Marie Mahrer
• Mark Michael Malmberg, DDS
• Heather M. Mattson, DPT
• Ana McNeil
• Tara Renae Mertz-Hack, MD

• Family Nurse Practitioner in Oakes, ND
• Providers in Oakes, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.