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

Katherine Long

Individual provider Physician Assistant · NPI 1588256150

Katherine Long is a Physician Assistant in Frisco, Texas. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois and Texas.

Years since qualifying
6
Licensed in
IL, TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5550 Warren Pkwy Ste 200
Frisco, TX 75034-7399
Phone: (217) 493-1377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 149 State Hwy 121, Coppell, TX 75019 — (469) 850-0680

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17632 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 085.008165 (IL)

Record details

NPI number1588256150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESJune 27, 2024
Certification dateJune 19, 2024
Mailing address5250 Town And Country Blvd Apt 5303, Frisco, TX 75034-6980

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Frisco