Active NPI
Cortney Long
- Midwife
- Winston Salem, NC
National Provider Identifier
1396179982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0129-000088
- Practice address
- 4130 Aquadale LN
Winston Salem, NC 27104-1404 - Phone
- (336) 577-2793
- NPI assigned
- Aug 30, 2013
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 0129-000088 | VA | Primary |
Addresses
Primary practice location
4130 Aquadale LN
Winston Salem, NC 27104-1404
Mailing address
4130 Aquadale LN
Winston Salem, NC 27104-1404
Phone (336) 577-2793
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 |
|---|---|---|---|
| 0129-000088 | VA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1396179982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 AQUADALE LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041404",
"telephone_number": "336-577-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 AQUADALE LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041404",
"telephone_number": "336-577-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CORTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0129-000088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.