Lauren Long, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9470265 Issued in FL

Practice address

4311 Norfolk Pkwy Ste 114
Melbourne, FL 32904-8617

Phone

(321) 339-1001

NPI assigned

Aug 16, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Refinery Medspa and Wellnes, LLC

  • Health Service Clinic/Center
  • West Melbourne, FL
  • NPI 1255835211
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1750861985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SHUTTLE CT APT 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048128",
            "telephone_number": "256-599-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NORFOLK PKWY STE 114",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048617",
            "telephone_number": "321-339-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9470265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Logan
• Loggerhead Medical LLC
• Anthony Lombardo, M.D.
• Jasmin Londono
• Caleb Bert Long, D.O.
• Alyssa Longley
• Kimberly Anne Loomis, M.A., CCC-SLP
• Melba Dolores Lopez de Victoria, CRNA
• Linnette Lopez Lopez, MD
• Yvette Marie Lopez-Granberry, M.D.

• Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.