Anna Marie Long, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85673 Issued in TX

Practice address

2520 Longview St Ste 307
Austin, TX 78705-4202

Phone

(512) 815-3438

Fax

(512) 205-3455

NPI assigned

Oct 12, 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 names 1

• Anna Marie Oglesbee Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Anna Marie Long Nutrition LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1407599426

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Katilean,LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1811240724

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1487129789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 N CAPITAL OF TEXAS HWY UNIT 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597292",
            "telephone_number": "903-390-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LONGVIEW ST STE 307",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054202",
            "telephone_number": "512-815-3438",
            "fax_number": "512-205-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 N Capital Of Texas Hwy Unit 212",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597292",
            "country_code": "US",
            "telephone_number": "512-843-5781",
            "fax_number": "877-775-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "OGLESBEE",
            "middle_name": "MARIE",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lonestar Lab Services
• Lonestar Med Y LLC
• Lonestar Psychological Services, PLLC
• Long Term Medical Equipment and Supplies
• Allison M Long
• Billie Jo Long, NP-C
• Christine L. Long, FNP
• Elizabeth Ann Long, D.D.S.
• Helen Fredericka Long
• Hunter Reitzell Long, BCBA

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.