Barbara Walter Long, RN, CDE, CDTC, CPT

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

20317 Issued in AK

Practice address

Medical Park Family Care-Diabetes Care Center
2221 E. Northern Lights Blvd. Suite 118
Anchorage, AK 99508

Phone

(907) 279-8486

Fax

(907) 222-7733

NPI assigned

Jun 20, 2018

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Internal Medicine Associates, LLC

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1043294648
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1396239604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230013",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995230013",
            "telephone_number": "907-244-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL PARK FAMILY CARE-DIABETES CARE CENTER",
            "address_2": "2221 E. NORTHERN LIGHTS BLVD. SUITE 118",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-279-8486",
            "fax_number": "907-222-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Internal Medicine Associates",
            "address_2": "2841 Debarr Rd. Ste. 50",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-276-2811",
            "fax_number": "907-276-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BARBARA",
        "middle_name": "WALTER",
        "credential": "RN, CDE, CDTC, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AK",
            "license": "20317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004348",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lombrano, DDS
• Alexandr London, NP
• Olga London
• Jamie L Lone Bear-Granbois, LPC
• Ashley Long
• Curry Long, LMFT
• Daytan Dale Long
• Elizabeth Anne Long
• Emily Catherine Long, PA-C
• Eva Long

• All providers in Anchorage, AK
• Diabetes Educator Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.