MEREDITH LONGINO PA-C NPI 1588067276

NPI Information

NPI: 1588067276
Provider Name: MEREDITH LONGINO, PA-C
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 724-2111
Get Directions

Meredith Longino, PA-C is a pediatrics nurse practitioner in Temple, TX. Meredith Longino, PA-C NPI is 1588067276. 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:

2401 S 31ST ST
TEMPLE, TX
ZIP 76508-001
Phone: (254) 724-2111

The enumeration date for this NPI number is 10/8/2014 and was last updated on 9/28/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		771280	TEXAS	No
2	363LP2300X	Nurse Practitioner	Primary Care	AP126569	TEXAS	No
3	363LP2300X	Nurse Practitioner	Primary Care	771280	TEXAS	No
4	363LP0200X	Nurse Practitioner	Pediatrics	AP126569	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	126669402	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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