Elizabeth Perry Long, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11152541 Issued in NC

Practice address

4004 Keble Dr
Charlotte, NC 28269-1405

Phone

(704) 517-9710

NPI assigned

May 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1336409770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 KEBLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691405",
            "telephone_number": "704-517-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 KEBLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691405",
            "telephone_number": "704-517-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ELIZABETH",
        "middle_name": "PERRY",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "11152541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Fish Long, RD
• Brian K Long, M.D.
• Charles W Long, MD
• Christopher Allen Long, PT, DPT
• Clayton Vance Long, MD
• Felicia Nicole Long
• Hailey Long
• Jennifer Long
• Joann Long, D.O.
• Joseph Michael Long II, MD

• Lactation Consultant (Non-RN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.