Longevity Health Center Company

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC2151 Issued in WA

Legal business name

LONGEVITY HEALTH CENTER COMPANY

Practice address

1801 W Broadway Ave Ste 1
Spokane, WA 99201-1819

Phone

(509) 838-1770

Fax

(509) 838-2020

NPI assigned

Jan 11, 2010

Last updated

Jan 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi McMahon, MSAOM EAMPNPI 1659431138

Title

Provider/Owner

Phone

(509) 838-1770

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi McMahon, MS, LAC

  • Acupuncturist
  • Spokane, WA
  • NPI 1659431138
  NPD (past) Authorized official
• Vasana Ranasinghe, LAC, DACM, MAOM, MPH

  • Acupuncturist
  • Spokane, WA
  • NPI 1922886662
  NPD
• Katherine Nunnelee, EAMP

  • Acupuncturist
  • Spokane, WA
  • NPI 1790493013
  NPD (past)
• Jennifer A Olson, LMP

  • Massage Therapist
  • Spokane, WA
  • NPI 1871614305
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1558691790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W BROADWAY AVE STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011819",
            "telephone_number": "509-838-1770",
            "fax_number": "509-838-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W BROADWAY AVE STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011819",
            "telephone_number": "509-838-1770",
            "fax_number": "509-838-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HEALTH CENTER COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "509-838-1770",
        "authorized_official_credential": "MSAOM EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Long
• Mollie J Long, LMHC
• Patrick Steven Long
• Stacey Leanne Long, PHYSICIAN ASSISTANT
• Joy Longanecker
• Kim Anne Longhofer, BSW
• Katherine Longinotti, ARNP
• Jason Longley
• Gregg Longmeier, DDS
• Jude Longo, M.D.

• Acupuncturist in Spokane, WA
• Providers in Spokane, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.