Active NPI
Gail Suzanne Longenecker, DIP LCM
- Massage Therapist
- Longmont, CO
National Provider Identifier
1043440266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3184
- Practice address
- 2362 Eagleview Circle
Longmont, CO 80504 - Phone
- (303) 774-9155
- Fax
- (303) 997-1811
- NPI assigned
- Jul 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3184 | CO | Primary |
Addresses
Primary practice location
2362 Eagleview Circle
Longmont, CO 80504
Mailing address
2362 Eagleview Circle
Longmont, CO 80504
Phone (303) 774-9155
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
- Credentials
- Diploma
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3184 | CO | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared Summit Health LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Longmont, CO
- NPI 1255561486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1043440266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2362 EAGLEVIEW CIRCLE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80504",
"telephone_number": "303-774-9155",
"fax_number": "303-997-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2362 EAGLEVIEW CIRCLE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80504",
"telephone_number": "303-774-9155",
"fax_number": "303-997-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGENECKER",
"first_name": "GAIL",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "DIP LCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "3184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.