WARREN DAVID. LONG
NPI 1689834400
Specialist in Shreveport, LA

Active since June 16, 2008
2625 LINE AVE, 155, SHREVEPORT, LA 71104(318) 424-8436(318) 424-8438 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Warren David. Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN DAVID. LONG (NPI 1689834400) is a healthcare organization registered as a specialist in Shreveport, Louisiana and active in the NPI registry since June 2008. The organization lists Warren David Long, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1689834400
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWARREN DAVID. LONG
Location Address2625 LINE AVE, 155Shreveport, LA 71104-3047
Mailing Address2625 Line Ave, 155Shreveport, LA 71104-3047 · (318) 424-8436 · Fax (318) 424-8438
Fax(318) 424-8438
Organization SubpartNo
Authorized OfficialWarren David LongMd/owner · (318) 424-8436
Enumeration DateJune 16, 2008
NPI 1689834400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in LA · 02812R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2625 LINE AVE, Shreveport, LA 71104

Other Identifiers 2

Medicare UPINB60836LA
Medicaid1107948LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2625 LINE AVE, SUITE 106
SHREVEPORT, LA 71104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren David. Long's NPI number?

The NPI number for Warren David. Long is 1689834400. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Warren David. Long located?

Warren David. Long is located at 2625 Line Ave 155, Shreveport, LA 71104. The listed phone number is (318) 424-8436.

What is Warren David. Long's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Warren David. Long was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.