1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TABITHA MARIE LONG
NPI 1417411620
Student in an Organized Health Care Education/Training Program in Kenosha, WI

Active since January 22, 2019
2001 ALFORD PARK DR, KENOSHA, WI 53140(262) 551-8500 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabitha Marie Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABITHA MARIE LONG (NPI 1417411620) is an individual student in an organized health care education/training program in Kenosha, Wisconsin and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1417411620
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTABITHA MARIE LONG
Location Address2001 ALFORD PARK DRKenosha, WI 53140-1927
Mailing Address249 Main StKingston, IL 60145-6800 · (815) 218-4924
Phone(262) 551-8500
Sole ProprietorNo
Enumeration DateJanuary 22, 2019
✔ NPI 1417411620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 ALFORD PARK DR, Kenosha, WI 53140
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ELIZABETH MAHLKUCH
Specialist/Technologist (Athletic Trainer)
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (608) 636-6324
SAMANTHA CAPUTO
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (847) 909-1879
MARY KENNEDY MCCARTHY
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (630) 624-6431
KATHRYN CRAMER
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (262) 551-8500
FRANK ESPOSITO
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (630) 200-9517
THOMAS JOSEPH GREEN III
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (574) 910-0586
ASHLEY GREENWOOD LAT
Specialist/Technologist (Athletic Trainer)
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (815) 922-6493
VANESA ACOSTA
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (262) 551-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabitha Long's NPI number?

The NPI number for Tabitha Long is 1417411620. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Tabitha Long located?

Tabitha Long practices at 2001 Alford Park Dr, Kenosha, WI 53140. The listed phone number is (262) 551-8500.

What is Tabitha Long's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tabitha Long was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.