Addie A Long, R.T.(R)(M)(BD)(ARRT)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

CRT58413 Issued in FL

Practice address

350 7TH St N
Naples, FL 34102-5754

Phone

(239) 734-1337

NPI assigned

Nov 29, 2022

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

• Mrs. Addie A Kirby Former name

Electronic endpoints 1

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1649980764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-734-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-734-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ADDIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.T.(R)(M)(BD)(ARRT)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "CRT58413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Haiku",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "350 7th St N",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341025754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADDIE",
            "last_name": "KIRBY",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "R.T.(R)(M)(BD)(ARRT)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Lomnicky, PT
• Mary Ann M Lomonaco, MD
• Virginia Londahl- Ramsey, CRNA
• Vivian Lone
• Adam David Long, DPT
• Anna Rose Long, DNP, CRNA
• Emery Katherine Long
• Kristin Heather Long, M.A.
• Longevity Health Pilots LLC
• Longevity Rehab & Wellness LLC

• Radiologic Technologist in Naples, FL
• Providers in Naples, FL by specialty
• Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.