Individual provider Active NPI

Lisa Long, L.M.T.

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1023203460
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-17832 Issued in HI
Practice address
1650 Liliha St Ste 208
Honolulu, HI 96817-3169
Phone
(808) 528-7177
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC30021 DC
Acupuncturist 171100000X U00806 MD
Massage Therapist 225700000X MAT-17832 HI Primary

Addresses

Primary practice location

1650 Liliha St Ste 208
Honolulu, HI 96817-3169

Mailing address

1650 Liliha St Ste 208
Honolulu, HI 96817-3169
Phone (808) 528-7177

Other practice location 1

98-023 Hekaha St Ste 204
Aiea, HI 96701-4927
Phone (808) 528-7177

Other names 1

  • Yu Long Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC30021DCMDAcupuncturist
U00806MDMDAcupuncturist
MAT-17832HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chevy Chase Wellness Center L.L.C. Acupuncturist Past Accepting new patients
International Institute for Health Communication LLC Acupuncturist PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1023203460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LILIHA ST STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173169",
            "telephone_number": "808-528-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LILIHA ST STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173169",
            "telephone_number": "808-528-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-023 Hekaha St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014927",
            "country_code": "US",
            "telephone_number": "808-528-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "LISA",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC30021",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00806",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-17832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU",
            "last_name": "LONG",
            "credential": "L. AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.