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Deactivated NPI 1124296298 Deactivated / Inactive NPI Female Practitioner

Sandra K Long , NP

Nurse Practitioner • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2008
NPI Deactivation Date April 12, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Sandra Long, NP was a registered Nurse Practitioner practicing in Phoenix, AZ. Throughout an active medical career spanning 14 years, Sandra Long provided care at the practice location at 2640 W BASELINE RD until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

2640 W Baseline Rd
111

Phoenix, AZ 850416492

Telephone 4806778282
Fax 4806778283
Associated Practice Facility / Clinic
🏢 Good Health Medical, Pllc Facility NPI 1881032670

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
337 Specialists

Practicing in Phoenix, AZ (1459 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ AP2928

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Manigo , PA-C, MMS

Physician Assistant - Medical

NPI 1003048901

Physician Assistant (Certified), MMS

Kimberly Flores , FNP-C

Nurse Practitioner - Family

NPI 1003450925

Family Nurse Practitioner (Certified)

Fernando Galaviz , PA-C

Physician Assistant

NPI 1003532847

Physician Assistant (Certified)

Danielle Hendrickson , FNP

Nurse Practitioner - Family

NPI 1003683723

Family Nurse Practitioner

Laura Babb , NP

Nurse Practitioner - Family

NPI 1013005651

Nurse Practitioner

Paige Church , FNP-C

Nurse Practitioner - Family

NPI 1013485044

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active May 13, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2015

Registered at 2640 W BASELINE RD, 111, PHOENIX, AZ 850416492 (Tel: 4806778282)

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Updated Business Mailing Address May 13, 2015

Registered at 4600 S MILL AVE, 280, TEMPE, AZ 852826757 (Tel: 4803052888)

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Provider Name / Credentials Updated May 13, 2015

Recorded as SANDRA LONG, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2015

Nurse Practitioner (License #AP2928 in AZ)

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Initial NPI Registration & Enumeration February 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124296298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2008
Last Update: May 13, 2015
Deactivation Date: April 12, 2022

Mailing Address

4600 S Mill Ave, 280

Tempe, AZ 852826757

Phone: 4803052888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.