Active NPI
Violet Marie Long, DC
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1386749752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 744
- Practice address
- 4100 Louisiana Avenue
Lake Charles, LA 70607 - Phone
- (337) 439-9306
- Fax
- (337) 310-4042
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 744 | LA | Primary |
Addresses
Primary practice location
4100 Louisiana Avenue
Lake Charles, LA 70607
Mailing address
4100 Louisiana Avenue
Lake Charles, LA 70607
Phone (337) 439-9306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1935913 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 744 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386749752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LOUISIANA AVENUE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70607",
"telephone_number": "337-439-9306",
"fax_number": "337-310-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LOUISIANA AVENUE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70607",
"telephone_number": "337-439-9306",
"fax_number": "337-310-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "VIOLET",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1935913",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.