Active NPI
Cindy Long, MS, RD, LDN, CDCES
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1770212680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 10208 Cerny St Ste 301
Raleigh, NC 27617-1000 - Phone
- (919) 354-7077
- NPI assigned
- Jun 7, 2022
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
10208 Cerny St Ste 301
Raleigh, NC 27617-1000
Mailing address
107 Medfield CT
Chapel Hill, NC 27517-9617
Phone (480) 444-9544
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@lifestylemedicalcenters.com | RTP Healthy Wellness PLLC |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children'S and Multispecialty Clinic, PA | Past | Accepting new patients | |
| Amm Healthcare, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Cary, NC
- NPI 1528639689
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1164519070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1770212680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MEDFIELD CT",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179617",
"telephone_number": "480-444-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10208 CERNY ST STE 301",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276171000",
"telephone_number": "919-354-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CINDY",
"credential": "MS, RD, LDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-08",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@lifestylemedicalcenters.com",
"affiliation": "Y",
"affiliationName": "RTP Healthy Wellness PLLC",
"address_1": "10208 Cerny St Ste 206",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276177885",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.