Active NPI
Jennifer Long, AU.D.
- Audiologist
- Seattle, WA
National Provider Identifier
1154794956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD 60565709
- Practice address
- Uwmc Center on Human Development and Disability
1959 NE Pacific St.
Seattle, WA 98195 - Phone
- (206) 598-4317
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD 60565709 | WA | Primary |
Addresses
Primary practice location
Uwmc Center on Human Development and Disability
1959 NE Pacific St.
Seattle, WA 98195
Mailing address
Uwmc Center on Human Development and Disability
Box 357920
Seattle, WA 98195
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 |
|---|---|---|---|
| LD 60565709 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1154794956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UWMC CENTER ON HUMAN DEVELOPMENT AND DISABILITY",
"address_2": "BOX 357920",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UWMC CENTER ON HUMAN DEVELOPMENT AND DISABILITY",
"address_2": "1959 NE PACIFIC ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-598-4317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD 60565709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.