Regina J Long, CRNP-C, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R171310 Issued in MD

Practice address

7955 Tuckerman LN
Rockville, MD 20854-3243

Phone

(866) 389-2727

Fax

(612) 659-7101

NPI assigned

Jun 29, 2006

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)

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 and National Provider Directory roles.

• Upmc Mercy

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1225004047
  NPD (past)
• Vitas Solutions Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1861666497
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1801824693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FOREST WALK LN",
            "address_2": "APT 203",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132435",
            "telephone_number": "724-633-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "866-389-2727",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "REGINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "CRNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis London
• Kylah London
• Aniya Long
• Ashley Long
• Kelly Ann Long, COTA
• Shaunasiarojeah Long
• Zion Long
• Terra Longerbeam
• Longevity Health Park
• Longlive Home Care MD

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.