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BARBARA WALTER LONG RN CDE CDTC CPT NPI 1396239604


NPI Information

NPI: 1396239604
Provider Name: BARBARA WALTER LONG, RN, CDE, CDTC, CPT
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
MEDICAL PARK FAMILY CARE-DIABETES CARE CENTER
2221 E. NORTHERN LIGHTS BLVD. SUITE 118
ANCHORAGE, AK
ZIP 99508
Phone: (907) 279-8486
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Barbara Walter Long, RN, CDE, CDTC, CPT is a diabetes educator registered nurse in Anchorage, AK. Barbara Walter Long, RN, CDE, CDTC, CPT NPI is 1396239604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MEDICAL PARK FAMILY CARE-DIABETES CARE CENTER
2221 E. NORTHERN LIGHTS BLVD. SUITE 118
ANCHORAGE, AK
ZIP 99508
Phone: (907) 279-8486
Fax: (907) 222-7733

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WD0400XRegistered NurseDiabetes Educator20317ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11004348MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.