Individual Healthcare Provider
Kimm Christine Long, ACCNS-AG
Provider's NPPES record last updated: October 17, 2018
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1790137651
- Primary Specialty
- Clinical Nurse Specialist — Adult Health
- Practice Location
- Moberly, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 9:53 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinical Nurse Specialist
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SA2200X Registered Nurse
Critical Care Medicine
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0200XClinical Nurse Specialist
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SA2100XClinical Nurse Specialist
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SG0600X
Provider-Reported License Information
- Clinical Nurse Specialist (Missouri)
- 2016022480
- Registered Nurse (Missouri)
- 153901
- Clinical Nurse Specialist (Missouri)
- 2016022480
- Clinical Nurse Specialist (Missouri)
- 2016022480
Practice Locations
Practice Location
1600 N Morley St Ste A120
Moberly, Missouri 65270-3685
Phone: (660) 372-9595
Additional Practice Location
1206 N Missouri St Ste C
Macon, Missouri 63552-2150
Phone: (660) 395-7575
Fax: (660) 665-7576
Record Information
- Enumeration Date
- July 4, 2016
- Provider's NPPES Record Last Updated
- October 17, 2018
- NPISignal NPPES Dataset
- August 2026
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