Kaitlyn Rose Long

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3302 Nash St N
Wilson, NC 27896-1232

Phone

(252) 237-5237

NPI assigned

Jul 14, 2022

Last updated

Feb 5, 2024By 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

Medicare fee-for-service enrollment

Enrolled in NC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regional Medical Oncology Center PA

  • Hematology & Oncology Physician
  • Wilson, NC
  • NPI 1407117948
  Medicare reassignment NPD
• Wilson Medical Group, PLLC

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1376564625
  Medicare reassignment

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1750015723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 NEUSE LANDING DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279050",
            "telephone_number": "919-827-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961232",
            "telephone_number": "252-237-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Frank Little, LPT
• Tonya Dee Smith Little, M.D.
• Livedo USA Inc (TYE Medical)
• Lois' House
• Megan Ashley London, OT
• Longleaf Neuro Medical Treatment Center
• Longleaf Neuro-Medical Treatment Center
• Longleaf Neuro-Medical Treatment Center
• Longleaf Neuro-Medical Treatment Center
• Jordyn Lopez, MS, LAT, ATC

• Physician Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.