Bridget Long, PHD

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

4308A Maryland Ave
Saint Louis, MO 63108-2704

Phone

(314) 707-3615

NPI assigned

Apr 8, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1730769480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308A MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082704",
            "telephone_number": "314-707-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308A MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082704",
            "telephone_number": "314-707-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridgetlong55@netzero.nt",
            "affiliation": "N",
            "endpointDescription": "clinic information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "4308A Maryland Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• London'S Home 314
• Kelsey Lonergan, PMHNP
• Long Term Care RX, Inc.
• Long Term Consultants LLC
• Amy Elizabeth Long, PNP
• Carol A Long, LPC
• Emily Ann Long
• Gillian Rose Long, DO
• Jeff Long
• Jerry Lee Long Jr.

• Health & Wellness Coach in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health & Wellness Coach in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.