Active NPI
Kenneth Alan Long
- Interpreter
- Orting, WA
National Provider Identifier
1598997207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interpreter
- License
- 602 876 041
- Practice address
- 16817 223Rd Ave E
Orting, WA 98360-9120 - Phone
- (360) 897-8300
- Fax
- (360) 897-8302
- NPI assigned
- Aug 13, 2009
- Last updated
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Interpreter | 171R00000X | 602 876 041 | WA | Primary |
Addresses
Primary practice location
16817 223Rd Ave E
Orting, WA 98360-9120
Mailing address
PO Box 458
Orting, WA 98360-0458
Phone (360) 897-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7144942 | Other | WA | WASHINGTON PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602 876 041 | WA | MD | Interpreter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1598997207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "ORTING",
"state": "WA",
"postal_code": "983600458",
"telephone_number": "360-897-8300",
"fax_number": "360-897-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16817 223RD AVE E",
"city": "ORTING",
"state": "WA",
"postal_code": "983609120",
"telephone_number": "360-897-8300",
"fax_number": "360-897-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KENNETH",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "WA",
"license": "602 876 041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PROVIDER NUMBER",
"identifier": "7144942",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orting, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.