Katherine Rae Long, 374J00000X DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

License

NV20243188577 Issued in NV

Practice address

9755 Silver Sky Pkwy Apt 307
Reno, NV 89506-2119

Phone

(775) 842-5848

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Katherine Rae Long Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1497588214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 SILVER SKY PKWY APT 307",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062119",
            "telephone_number": "775-842-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 SILVER SKY PKWY APT 307",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062119",
            "telephone_number": "775-842-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHERINE",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "374J00000X DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NV",
            "license": "NV20243188577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LONG",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "DOULA 812990",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Athena Long
• Elizabeth Dixie Long
• Everett Long
• Haley Jean Long, PAC
• John Long
• Linh M Long, PHARMD
• Myriam Daniela Longballa, CST-FA
• Mary Longero
• Longevity Residential Care II
• Stacie Lea Longmire, CPRSS

• Doula in Reno, NV
• Providers in Reno, NV by specialty
• Doula in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.