Active NPI
Jason Long, RPA
- Radiology Practitioner Assistant
- Fort Collins, CO
National Provider Identifier
1063711075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- Practice address
- 2139 Andrews St
Fort Collins, CO 80528-7073 - Phone
- (970) 377-2605
- NPI assigned
- Mar 17, 2011
- Last updated
- Mar 17, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | Primary |
Addresses
Primary practice location
2139 Andrews St
Fort Collins, CO 80528-7073
Mailing address
2139 Andrews St
Fort Collins, CO 80528-7073
Phone (970) 377-2605
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1063711075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 ANDREWS ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805287073",
"telephone_number": "970-377-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 ANDREWS ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805287073",
"telephone_number": "970-377-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JASON",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- David Gregory Loken, PT
- Kaitlyn Lomartire, LPCC
- Loren Lomme, LPC
- Aidan London, M.A., L.P.C.
- Lonely Mountain Therapy LLC (Lonely Mountain Therapy)
- John Dawson Long III, CRNA
- Lily Longan
- Longs Drug Stores California Inc (Longs Drug Store)
- Longs Drug Stores California Inc (Longs Drug Store)
- Longs Drug Stores California Inc (Longs Drug Store)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.