Active NPI
Nancy Elizabeth Long, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD-15045
- Practice address
- 400 Mahalani St
Wailuku, HI 96793-2547 - Phone
- (808) 244-5555
- NPI assigned
- Aug 23, 2006
- Last updated
- Feb 13, 2009
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD-15045 | HI | Primary |
Addresses
Primary practice location
400 Mahalani St
Wailuku, HI 96793-2547
Mailing address
400 Mahalani St
Wailuku, HI 96793-2547
Phone (808) 244-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| The University of Vermont Health Network Home Health & Hospice, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
| Hospice Maui, Inc | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
1110 Prim Rd
Colchester, VT 05446
Phone (802) 658-1900
Interoperability endpoints
- nlong480440@direct.uvmhealth.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Uvmhn Home Health and Hospice | Hospice | W-2 Managing Employee | May 23, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba UVMHN Home Health and Hospice
- Community Based Hospice Care Agency
- Colchester, VT
- NPI 1922042712
W-2 Managing Employee
Organizations & group practices 3
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
dba UVMHN Home Health and Hospice
- Community Based Hospice Care Agency
- Colchester, VT
- NPI 1922042712
Hospice and Palliative Medicine
-
- Community Based Hospice Care Agency
- Wailuku, HI
- NPI 1063445690
Hospice and Palliative Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1952418287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932547",
"telephone_number": "808-244-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932547",
"telephone_number": "808-244-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "NANCY",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "HI",
"license": "MD-15045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
- Zabrie Loio, RBT
- Lisa Marie Lombardi, PAC
- Jillian Lommori
- Nadina Loney
- Catherine Emelyn Long, ED.D
- Rick J. Long, M.S.W.
- Longevity Health Center, LTD. (Longevity Health Center)
- Longs Drug Stores California LLC (Longs Drugs #10060)
- Longs Drug Stores California, Inc. (Longs Drug Store #709)
- Evan Loomis, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.