Kyla Jade Long, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86373049 Issued in VA

Practice address

2620 Rio Grande CT
Virginia Beach, VA 23456-4288

Phone

(757) 270-7327

NPI assigned

Mar 13, 2025

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

• Kyla Jade Long Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1639979313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 RIO GRANDE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564288",
            "telephone_number": "757-270-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 RIO GRANDE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564288",
            "telephone_number": "757-270-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KYLA",
        "middle_name": "JADE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86373049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "LONG",
            "middle_name": "JADE",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lon Bryan Meader
• Long Ship Services LLC Dba Acti-Kare Responsive in-Home Care
• Cahrin Long-Ivey
• Monita Long-Smith, LPTA
• Jacob Long, DPT
• Lovelyn Long, QBHP
• Tish Kennedy Long, PT, DPT
• Carolina Bacani Longa, MD
• Longevity Institute of Virginia
• Nancy Sue Longfors, MD

• Registered Dietitian in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.