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TRACEY LONG MPH, RDN
NPI 1962958587
Dietitian, Registered in Overland Park, KS

Active since September 01, 2016Opted out of Medicare · through Oct 1, 2027
6824 W 72ND TER, OVERLAND PARK, KS 66204(303) 588-9701 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 26, 2016, Sep 1, 2016 (2 updates tracked since 2016).

About Tracey Long Mph, Rdn NPPES

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

TRACEY LONG MPH, RDN (NPI 1962958587) is an individual dietitian, registered in Overland Park, Kansas, licensed in Kansas (86068129) and active in the NPI registry since September 2016. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1962958587
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTRACEY LONGCredential: MPH, RDN
Location Address6824 W 72ND TEROverland Park, KS 66204-1920
Mailing Address6824 W 72nd TerOverland Park, KS 66204-1920 · (303) 588-9701
Phone(303) 588-9701
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
Last NPPES UpdateSeptember 26, 20162 updates tracked since enumeration
✔ NPI 1962958587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in KS · 86068129
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
6824 W 72ND TER, Overland Park, KS 66204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tracey Long Mph, Rdn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Tracey Long's NPI number?

The NPI number for Tracey Long is 1962958587. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Tracey Long located?

Tracey Long practices at 6824 W 72nd Ter, Overland Park, KS 66204. The listed phone number is (303) 588-9701.

What is Tracey Long's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tracey Long enrolled in Medicare?

No. Tracey Long has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tracey Long was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.