KATHLEEN MONICA LONG (NPI# 1942404470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942404470 |
| Entity Type | Individual |
| Full Name | KATHLEEN MONICA LONG |
| Credential | L.M.P. |
| Practice Address |
9631 Firdale Ave Edmonds WA 98020-6519 |
| Mailing Address |
1057 Alder St Edmonds WA 98020-3322 |
| Practice Telephone | 2066186079 |
| Mailing Telephone | 2066186079 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00012777 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE PROVIDER NUMBER | 4424LO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1720346372 | Kathleen Ellen Long | Speech-Language Pathologist | 11142 S Campbell Ave, Chicago, IL 60655-1316 | 2012-05-01 |
| 1184873259 | Kathleen Long | Acupuncturist | 1137 Second St., #116, Santa Monica, CA 90403 | 2008-09-15 |
| 1407821648 | Kathleen Long | Psychologist | 508 Gray Rd, Windham, ME 04062-4831 | 2006-02-21 |
| 1538139068 | Kathleen Adele Long | Nurse Practitioner | 300 E 8th St Ste 120, Marietta, OH 45750-3379 | 2006-01-26 |
| 1043215403 | Kathleen A. Long | Internal Medicine | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2005-06-14 |
| 1558998633 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 | 2020-03-26 |
| 1083176788 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2019-04-02 |
| 1710367503 | Kathleen Ann Long | Dermatology | 800 Hospital Dr, Columbia, MO 65201-5275 | 2015-06-05 |
| 1295087252 | Kathleen Long | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2012-10-15 |
| Street Address |
9631 FIRDALE AVE |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780750240 | Asha Novak | Acupuncturist | 9631 Firdale Ave, Edmonds, WA 98020-6519 | 2006-11-28 |
| 1164633814 | Brooke Annette Kimball | Specialist | 9631 Firdale Ave, Edmonds, WA 98020-6519 | 2007-05-24 |
| 1114130275 | Jennifer G. Dragoo | Massage Therapist | 9631 Firdale Ave, Edmonds, WA 98020 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514498 | Shannon Hart | Massage Therapist | 122 5th Ave S, Edmonds, WA 98020-3423 | 2020-09-28 |
| 1174130793 | Georgia Leann Fahl | Massage Therapist | 122 5th Ave S # 122b, Edmonds, WA 98020-3423 | 2020-09-28 |
| 1154969780 | Alsia Soiset LLC | Massage Therapist | 23519 88th Ave W, Edmonds, WA 98026-8619 | 2019-12-13 |
| 1619444031 | Aiyana Aisha Taryn White | Massage Therapist | 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 | 2018-10-24 |
| 1578060125 | Colleen Reeves | Massage Therapist | 51 W Dayton St Ste 304, Edmonds, WA 98020-4111 | 2018-04-10 |
| 1821590266 | Donna Cugini | Massage Therapist | 210 5th Ave S Ste 207, Edmonds, WA 98020-3625 | 2018-03-01 |
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1144674839 | Deborah Pedrola | Massage Therapist | 6615 Marine View Dr, Edmonds, WA 98026-3120 | 2016-04-19 |
| 1629431697 | Tina Marie Palmer | Massage Therapist | 10702 Robin Hood Dr, Edmonds, WA 98020-6162 | 2016-03-29 |
| 1881065936 | Ryan L Ashbridge | Massage Therapist | 8015 213th St Sw, Edmonds, WA 98026-7452 | 2015-10-15 |
| Find all providers in EDMONDS | ||||
Please comment or provide details below to improve the information on KATHLEEN MONICA LONG.
| 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.