Active NPI
Amber Long
- Case Management Registered Nurse
- Canon City, CO
National Provider Identifier
1821497934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN.1627360
- Practice address
- 3225 Independence Rd
Canon City, CO 81212-9380 - Phone
- (719) 275-2351
- Fax
- (719) 269-9386
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN.1627360 | CO | Primary |
Addresses
Primary practice location
3225 Independence Rd
Canon City, CO 81212-9380
Mailing address
3225 Independence Rd
Canon City, CO 81212-9380
Phone (719) 275-2351
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1627360 | CO | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1821497934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 INDEPENDENCE RD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812129380",
"telephone_number": "719-275-2351",
"fax_number": "719-269-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 INDEPENDENCE RD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812129380",
"telephone_number": "719-275-2351",
"fax_number": "719-269-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CO",
"license": "RN.1627360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.