Shannon Nicole Long, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4008146 Issued in KY

Practice address

4288 Hustonville Rd
Danville, KY 40422-9582

Phone

(606) 669-9033

NPI assigned

Jul 6, 2023

Last updated

Jun 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1952089369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229582",
            "telephone_number": "606-669-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4288 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229582",
            "telephone_number": "606-669-9033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N Depot St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331419",
            "country_code": "US",
            "telephone_number": "270-465-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Greenbriar Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189617",
            "country_code": "US",
            "telephone_number": "270-465-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "4008146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Wellcare, PLLC
• Lincare Inc.
• Andresa Davonne Lofton
• Wendy Y. Logan
• Paula Logue, APRN
• Jennifer Loss
• Elizabeth Love
• Nick Wood Love, LMFT
• LP Danville, LLC (Danville Centre for Health & Rehabilitation)
• Lung Disease Specialists

• Advanced Practice Midwife in Danville, KY
• Providers in Danville, KY by specialty
• Advanced Practice Midwife in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.