Individual provider Active NPI

Ruby Kathyrn Long, LPN

  • Licensed Practical Nurse
  • Cuyahoga Falls, OH
National Provider Identifier
1750810412
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN135179MIV Issued in OH
Practice address
405 Tallmadge Rd
Cuyahoga Falls
Cuyahoga Falls, OH 44221
Phone
(330) 436-0951
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN135179MIV OH Primary

Addresses

Primary practice location

405 Tallmadge Rd
Cuyahoga Falls
Cuyahoga Falls, OH 44221

Mailing address

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362
Phone (330) 436-0951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN135179MIVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750810412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-436-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "address_2": "CUYAHOGA FALLS",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44221",
            "telephone_number": "330-436-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RUBY",
        "middle_name": "KATHYRN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN135179MIV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.