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ALICA LONG M.A. CCC-A NPI 1659385813


NPI Information

NPI: 1659385813
Provider Name: ALICA LONG, M.A. CCC-A
Classification: Audiologist - 231H00000X
Entity Type: Individual
Address:
300 GREEN AVE.
GILLETTE, WY
ZIP 82716
Phone: (307) 689-3611
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Alica Long, M.A. CCC-A is an audiologist in Gillette, WY with 26 years of experience. The provider is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. Alica Long, M.A. CCC-A NPI is 1659385813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 GREEN AVE.
GILLETTE, WY
ZIP 82716-045
Phone: (307) 689-3611

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Eardrum testing using ear probe (HCPCS:92567)

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid FitterA-973WYOMINGNo
2231H00000XAudiologistA-973WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1278377MEDICARE PINNEBRASKA
2P00297942OTHERNEBRASKAPALMENTO GBA RR MEDICARE
3W308228OTHERNEBRASKASOUTH DAKOTA MEDICARE
4235MEDICAIDNEBRASKA
5507621740MEDICAIDNEBRASKA
6W23243MEDICARE PINWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.