Patricia Lynn Long, CNP, CNS

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NP09090 Issued in OH

Practice address

368 Northeast Ave
Tallmadge, OH 44278-1443

Phone

(216) 906-4923

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1952429672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 NORTHEAST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781443",
            "telephone_number": "216-906-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 NORTHEAST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781443",
            "telephone_number": "216-906-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "CNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "NP09090",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "NS07470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Assistance Services Inc.
• Melissa Ann Llewellyn, PT
• Hannah M Loder, PA-C
• Stephanie Logan
• Matthew David Lohr, PTA
• Rodney Long Jr., MSSA, LISW-S
• Lots of Love, LLC
• Michelle Yvonne Low
• Gregory Charles Lucas, D.C.
• Marilyn Marie Machusick, DDS

• Gerontology Nurse Practitioner in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.