Krista Long

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

172 Glencoe Way
Buffalo, WY 82834-9389

Phone

(307) 620-9562

NPI assigned

Oct 31, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1538824073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 GLENCOE WAY",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828349389",
            "telephone_number": "307-620-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 GLENCOE WAY",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828349389",
            "telephone_number": "307-620-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anke Michaela Kottmann
• Nancy Pauline Kozisek
• Brooke Krivickas
• Gladys Elizabeth Larson
• Krista Lane Lausen, PT
• Loyd Chiropractic Center
• James William Loyd, D.C.
• Zoe M Loyd, DC
• Lori A. Lyle, M.A. LPC #770
• Tom Maertens

• Community/Behavioral Health Agency in Buffalo, WY
• Providers in Buffalo, WY by specialty
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.