Look up the most recent NPI and PECOS records

Keisha Thompson-Long

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1915 White Ave, Knoxville, TN 37916-2300

PECOS Enrollment

Based on the most recent information from CMS, provider Keisha Thompson-Long is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1578399846
Provider Type
Individual
Full Name
Thompson-Long, Keisha
Credential
NP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2024
Last Updated
2/11/2025

Contact Information

Practice Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 835-5400

Unlisted Fax

Mailing Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 835-5400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 37022 Tennessee

Keisha Thompson-Long

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Salem, Randa Khalid

Gayle, Kristen Osterman

Lindsey, Amanda H.

Davis, Amy D

Harvey, Sarah A

Laskowski, Cassandra J

Henderson, Afeni D.

Gardner, Aimee

Burnette, Kristin

Loop, Amy