TIMOTHY J LONG (NPI# 1558743294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558743294 |
| Entity Type | Individual |
| Full Name | TIMOTHY J LONG |
| Practice Address |
3150 Noble Ct Boulder CO 80301-6211 |
| Practice Telephone | 3038171341 |
| Mailing Telephone | 3038171341 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| 1972514826 | Timothy Long | Chiropractor | 2979 N Cannon Blvd, Kannapolis, NC 28083-9125 | 2006-08-10 |
| 1558384214 | Timothy P Long | Family Medicine | 200 N Highway 47, Marthasville, MO 63357 | 2006-07-25 |
| 1114979986 | Timothy Richard Long | Social Worker | 160 Draper Ave, C/o Child Inc., Warwick, RI 02889-5047 | 2006-05-17 |
| 1699743567 | Timothy R. Long | Family Medicine | 1320 Andrea St, Bowling Green, KY 42104-3334 | 2006-03-08 |
| 1992111975 | Timothy Parker Long II | Dentist | 6830 Phelan Blvd, Beaumont, TX 77706-5970 | 2014-07-10 |
| 1003045071 | Timothy R Long | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-07-10 |
| 1578693354 | Timothy John Long | Hospitalist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-03-07 |
| 1528081239 | Timothy J Long | Internal Medicine | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2006-07-25 |
| 1457338477 | Timothy R Long | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
3150 NOBLE CT |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510720 | Jennifer Hoppert | Nutritionist | 7323 Island Cir, Boulder, CO 80301-3905 | 2018-08-30 |
| 1851871396 | Mesomorpheus LLC | Nutritionist | 5485 Conestoga Ct Ste 110b, Boulder, CO 80301-2752 | 2018-08-15 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1588011308 | Sarah Sandy | Nutritionist | 3600 Conifer Ct, Boulder, CO 80304-1523 | 2016-05-22 |
| 1407258437 | Erin E Williams | Nutritionist | 861 Cypress Dr, Boulder, CO 80303-2819 | 2014-09-22 |
| 1881244267 | Lauren Marie Capone | Nutritionist | 2260 Baseline Rd Ste 102, Boulder, CO 80302-7740 | 2019-09-17 |
| 1881250439 | Megan Arel | Nutritionist | 2260 Baseline Rd Ste 102, Boulder, CO 80302-7740 | 2019-05-18 |
| 1346714656 | Joseph William Esler | Nutritionist | 5485 Conestoga Ct Ste 110b, Boulder, CO 80301-2752 | 2019-01-20 |
| 1952743221 | Empowered Wellness, LLC | Nutritionist | 2525 4th St, Boulder, CO 80304-3966 | 2013-07-26 |
| Find all providers in BOULDER | ||||
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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.