Active NPI
Heather Danielle Long, LMT
- Massage Therapist
- Raytown, MO
National Provider Identifier
1720606304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2008003161
- Practice address
- 7312 Raytown Rd Ste F
Raytown, MO 64133-6650 - Phone
- (816) 849-3111
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2008003161 | MO | Primary |
Addresses
Primary practice location
7312 Raytown Rd Ste F
Raytown, MO 64133-6650
Mailing address
7312 Raytown Rd Ste F
Raytown, MO 64133-6650
Phone (816) 419-5174
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 |
|---|---|---|---|
| 2008003161 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1720606304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7312 RAYTOWN RD STE F",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641336650",
"telephone_number": "816-419-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7312 RAYTOWN RD STE F",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641336650",
"telephone_number": "816-849-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "HEATHER",
"middle_name": "DANIELLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2008003161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.