Tony Long, RN

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

R039099 Issued in SD

Practice address

1011 11TH St RM 104
Rapid City, SD 57701-3530

Phone

(605) 791-6346

NPI assigned

Oct 5, 2022

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1972228641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016205",
            "telephone_number": "605-393-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 11TH ST RM 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013530",
            "telephone_number": "605-791-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TONY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "SD",
            "license": "R039099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Loftus, DDS
• Robert James Loftus, DDS
• Ronald James Loftus, DDS
• Brooke Renee Long, CNP, RN
• Nathan Wayne Long, M.D.
• Laura L Longville, CCDC II
• John E. Looby, MD
• Looping Professionals LLC
• William Paul Looyenga, MSPT
• Raymond Lopez, DPT

• Pain Management Registered Nurse in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Pain Management Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.