Individual provider Active NPI

Brittany Long, FNP-BC

  • Nurse Practitioner
  • Madison, AL
National Provider Identifier
1780320770
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-127056 Issued in AL
Practice address
12205 County Line Rd Ste B
Madison, AL 35758-7720
Phone
(256) 325-6722
Fax
(256) 325-6724
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-127056 AL Primary

Addresses

Primary practice location

12205 County Line Rd Ste B
Madison, AL 35758-7720

Mailing address

333 Whitesport Dr SW Ste 103
Huntsville, AL 35801-3455

Other practice location 1

333 Whitesport Dr SW Ste 103
Huntsville, AL 35801-3455
Phone (256) 880-9345

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.long.1@3038.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Franklin, TN 37068

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: brittany.long.2@3038.direct.athenahealth.com
  • Direct secure messaging: brittany.long.1@3038.direct.athenahealth.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1780320770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587720",
            "telephone_number": "256-325-6722",
            "fax_number": "256-325-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Whitesport Dr SW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013455",
            "country_code": "US",
            "telephone_number": "256-880-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRITTANY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-127056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.long.1@3038.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "12205 County Line Rd Ste B",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357587720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.