Individual provider Active NPI

Lynnette Nadine Long, D.C.

  • Chiropractor
  • El Dorado Hills, CA
National Provider Identifier
1891863296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23501 Issued in CA
Practice address
4359 Town Center Blvd
Suite 213
El Dorado Hills, CA 95762-7113
Phone
(916) 933-4507
Fax
(916) 933-4521
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23501 CA Primary

Addresses

Primary practice location

4359 Town Center Blvd
Suite 213
El Dorado Hills, CA 95762-7113

Mailing address

4359 Town Center Blvd
Suite 213
El Dorado Hills, CA 95762-7113
Phone (916) 933-4507

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

LicenseStateTypeSpecialty
23501CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Chiropractic, Inc. Chiropractor PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891863296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 TOWN CENTER BLVD",
            "address_2": "SUITE 213",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627113",
            "telephone_number": "916-933-4507",
            "fax_number": "916-933-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 TOWN CENTER BLVD",
            "address_2": "SUITE 213",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627113",
            "telephone_number": "916-933-4507",
            "fax_number": "916-933-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LYNNETTE",
        "middle_name": "NADINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • 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.