TRACEY LONG (NPI# 1962958587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962958587 |
| Entity Type | Individual |
| Full Name | TRACEY LONG |
| Credential | MPH, RDN |
| Practice Address |
6824 W 72nd Ter Overland Park KS 66204-1920 |
| Practice Telephone | 3035889701 |
| Mailing Telephone | 3035889701 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86068129 | KS | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545656 | Tracey Long | Nurse Practitioner | 524 S Washington St, Gettysburg, PA 17325-2594 | 2020-03-30 |
| 1104478551 | Tracey Bates Long | Nurse Practitioner | 7501 Fannin St Ste 705, Houston, TX 77054-1958 | 2019-07-15 |
| 1609298454 | Tracey Long | Occupational Therapist | 28 Conservatory Dr Ste A, Barberton, OH 44203-4275 | 2014-01-14 |
| Street Address |
6824 W 72ND TER |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66204-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480284 | Carolyn Schmidt | Dietitian, Registered | 11433 Cody St, Overland Park, KS 66210-3497 | 2020-09-01 |
| 1285263632 | Victoria Lauren Wassner | Dietitian, Registered | 16000 Granada St Apt 210, Overland Park, KS 66085-8459 | 2020-04-07 |
| 1083241855 | Lacee Pinkerton | Dietitian, Registered | 10017 Larsen St, Overland Park, KS 66214-2352 | 2020-03-24 |
| 1699249607 | Pamela S Brill | Dietitian, Registered | 5701 W 119th St Ste 350, Overland Park, KS 66209-3721 | 2019-01-14 |
| 1659869121 | Shanna Marie Hutcheson | Dietitian, Registered | 11401 Lamar Ave, Overland Park, KS 66211-1508 | 2018-04-30 |
| 1871008771 | Rachel Sandoval | Dietitian, Registered | 9128 Westbrooke Dr, Overland Park, KS 66214-2132 | 2017-12-13 |
| 1154834315 | Lindsey Mayhew | Dietitian, Registered | 5051 Indian Creek Pkwy Apt 306, Overland Park, KS 66207-4100 | 2017-11-09 |
| 1427501774 | Kayla Graves | Dietitian, Registered | 6736 W 76th St, Apt A, Overland Park, KS 66204-3061 | 2016-08-03 |
| 1235542168 | Amanda Foiles | Dietitian, Registered | 7920 W 92nd Pl, Overland Park, KS 66212-3106 | 2014-06-09 |
| 1417388133 | Bethany Frazier | Dietitian, Registered | 6240 W 156th St, Overland Park, KS 66223-3621 | 2013-12-05 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66204 |
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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.