Angela Dawn Long

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

971705 Issued in TX

Practice address

120 N Walnut St
Jefferson, TX 75657-1934

Phone

(903) 665-6131

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First in Pediatrics Home Health Care, Inc.

  • Home Health Agency
  • Jefferson, TX
  • NPI 1942255591
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1851940704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756570901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WALNUT ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571934",
            "telephone_number": "903-665-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "971705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Laurent
• Kelly Renee Law
• Pamela Sue Lawrence, LVN
• Sherry Jo Lee
• Lindsay Lloyd
• Jennifer Lynn Lopez
• Andrew Blake Lummus
• Crista Rae Lumpkin
• Magnolia Manor Management Inc (Magnolia Manor)
• Ariel Anastashia Malone

• Registered Nurse in Jefferson, TX
• Providers in Jefferson, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.