Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelynn Marie Long, AUD

Individual provider Audiologist-Hearing Aid Fitter · NPI 1538618400

Jacquelynn Marie Long, AUD is a Qualified Audiologist in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone: (602) 264-4834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 E McDowell Rd Ste 200, Phoenix, AZ 85006-2608 — (602) 956-1250

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence DA10110 (AZ)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence DA10110 (AZ)

Record details

NPI number1538618400
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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