Carrie Long, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001215A Issued in IN

Practice address

1600 23Rd St
Bedford, IN 47421-4704

Phone

(812) 275-2660

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790716090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S ADAMS ST",
            "address_2": "APT 02",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032139",
            "telephone_number": "812-275-2660",
            "fax_number": "812-276-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-275-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CARRIE",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001215A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limestone Laboratory Pathology Consultants, LLC
• Limestone Treatment & Healing Center LLC
• Jenelle Linden, MA, LMHC, LPC, LCPC
• Angela Long, O.D.
• Carrie Long, PMHNP
• Paula Lounsberry, PT
• Michelle Diane Lower, CRNA
• Teresa D Luttrell
• Major Hospital (CORE of Bedford)
• Haley Maranda

• Athletic Trainer in Bedford, IN
• Providers in Bedford, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.