ELIZABETH PERRY LONG (NPI# 1336409770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336409770 |
| Entity Type | Individual |
| Full Name | ELIZABETH PERRY LONG |
| Credential | IBCLC |
| Practice Address |
4004 Keble Dr Charlotte NC 28269-1405 |
| Practice Telephone | 7045179710 |
| Mailing Telephone | 7045179710 |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 11152541 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
| 1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
| 1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
| 1427669191 | Elizabeth Long | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2020-08-14 |
| 1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
| 1194372102 | Elizabeth Long | Social Worker | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2019-08-23 |
| Street Address |
4004 KEBLE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054736 | Alexis Pamela Amaral | Lactation Consultant, Non-RN | 2720 South Blvd Apt 310, Charlotte, NC 28209-1500 | 2020-08-18 |
| 1497381982 | Graceful Journey LLC | Lactation Consultant, Non-RN | 10014 Snowbell Ct, Charlotte, NC 28215-7884 | 2020-03-17 |
| 1700419132 | Cheryl Demers | Lactation Consultant, Non-RN | 300 Medearis Dr, Charlotte, NC 28211-6044 | 2020-02-13 |
| 1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
| 1114378304 | Kelle L Pressley | Lactation Consultant, Non-RN | 1913 Bishop Madison Ln, Charlotte, NC 28216-3725 | 2016-06-29 |
| 1376916197 | Chammee Sarah Anderson | Lactation Consultant, Non-RN | 9511 Littleleaf Dr, Charlotte, NC 28215-7128 | 2015-11-02 |
| 1881080992 | Karyn Paul | Lactation Consultant, Non-RN | 100 N Laurel Ave Apt 110, Charlotte, NC 28207-1579 | 2015-04-15 |
| 1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
| 1689012353 | Danette Rachelle Andersen | Lactation Consultant, Non-RN | 3614 Cole Mill Rd, Charlotte, NC 28270-1120 | 2013-06-04 |
| 1093059552 | Nicole Mcintyre Waters | Lactation Consultant, Non-RN | 2526 Stirrup Ridge Ln, Charlotte, NC 28270-2295 | 2012-11-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.