Active NPI
Lisa Long, L.M.T.
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1023203460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-17832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC30021 | DC | MD | Acupuncturist |
| U00806 | MD | MD | Acupuncturist |
| MAT-17832 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chevy Chase Wellness Center L.L.C. | Acupuncturist | Past | Accepting new patients |
| International Institute for Health Communication LLC | Acupuncturist | Past | 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.
-
dba Aloha Injury Clinic
- Acupuncturist
- Honolulu, HI
- NPI 1437503406
-
- Acupuncturist
- Chevy Chase, MD
- NPI 1861687204
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.