Pamela Neysa Long, RDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

39285-DI-2 Issued in NV

Practice address

1524 Pinto LN
Las Vegas, NV 89106-4195

Phone

(702) 750-9079

NPI assigned

Sep 30, 2022

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)

Enrolled

State licenses

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1821712001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 TERRAPIN MOUNTAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294523",
            "telephone_number": "702-576-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064195",
            "telephone_number": "702-750-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PAMELA",
        "middle_name": "NEYSA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NV",
            "license": "39285-DI-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Long
• Kathryn Long
• Michele Denise Long
• Nancy Lynn Long, M.D.
• Natasha Long
• Patrick M. Long
• Paul Long
• Roysha Denise Long
• Sharlene Long
• Shaunte Latrice Long

• Pediatric Nutrition Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Nutrition Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.