Lisa R Long, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5812 Issued in MO

Practice address

307 E Karsch Blvd
Farmington, MO 63640-1203

Phone

(573) 760-1515

Fax

(573) 760-0817

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Long Chiropractic & Wellness

  • Chiropractor
  • Farmington, MO
  • NPI 1548053044
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1104818731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401203",
            "telephone_number": "573-760-1515",
            "fax_number": "573-760-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401203",
            "telephone_number": "573-760-1515",
            "fax_number": "573-760-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "10410T002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "T2448",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MISSOURI",
            "identifier": "105957",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Lindsey
• Laura Ann Lohman, PHARM.D
• Long Chiropractic & Wellness
• Long Chiropractic Inc
• Crystal M Long
• Rachelle Dinas Looney
• Tanner Lorenz, DDS
• Elizabeth A Love-Combs, FNP
• Stella Marie Loveless
• Kayla Luber

• Chiropractor in Farmington, MO
• Providers in Farmington, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.