Kathryn Ann Long, RN, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1972 Issued in MN

Practice address

12760 Lake Blvd
Lindstrom, MN 55045-9342

Phone

(763) 310-4704

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• All About Caring Home Care LLC

  • In Home Supportive Care Agency
  • Rush City, MN
  • NPI 1134307119
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1043686280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550450319",
            "telephone_number": "763-310-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 LAKE BLVD",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550459342",
            "telephone_number": "763-310-4704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 S. Eliot Ave.",
            "address_purpose": "LOCATION",
            "city": "Rush City",
            "state": "MN",
            "postal_code": "55069",
            "country_code": "US",
            "telephone_number": "320-358-0987",
            "fax_number": "320-358-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "RN, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R170102-3",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake and Leaf Chiropractic PLLC
• Lake Optometric Vision PA
• Lakes Area Chiropractic Clinic LLC
• Lindstrom Chiropractic Center, P.a.
• Lindstrom Family Dentistry LLC
• Vernon Bruce Lovdokken, OD
• Marisha Love
• Michael M Lukkason, PHARMD
• Sharon Ann Malecha
• Heather Martin

• All providers in Lindstrom, MN
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.