Active NPI
Debra Gail Long, R.D.
- Registered Dietitian
- Rocky Mount, NC
National Provider Identifier
1427097757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 802840
- Practice address
- 1041 Noell LN
Rocky Mount, NC 27804-2058 - Phone
- (252) 903-5683
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 802840 | NC | Primary |
Addresses
Primary practice location
1041 Noell LN
Rocky Mount, NC 27804-2058
Mailing address
1320 Beal St
Rocky Mount, NC 27804-5001
Phone (252) 985-2140
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 |
|---|---|---|---|
| 802840 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279324800000",
"number": "1427097757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 BEAL ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045001",
"telephone_number": "252-985-2140",
"fax_number": "252-442-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 NOELL LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042058",
"telephone_number": "252-903-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DEBRA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2010-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "802840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.