KATHRYN NICOLE LOGAN (NPI# 1003437880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003437880 |
| Entity Type | Individual |
| Full Name | KATHRYN NICOLE LOGAN |
| Credential | PMHNP |
| Practice Address |
183 Little Doe Ln Wetumpka AL 36093-3093 |
| Practice Telephone | 3346691058 |
| Mailing Telephone | 3346691058 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-134637 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043478357 | Kathryn Logan | Social Worker | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2008-05-23 |
| Street Address |
183 LITTLE DOE LN |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36093-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295907 | Katrina G Owes | Home Health Aide | 4037 Us Hwy 231, Wetumpka, AL 36093 | 2017-06-27 |
| 1194057554 | Wetumpka Urgent Care LLC | Clinic/Center | 11 Cambridge Drive, Wetumpka, AL 36093 | 2010-02-09 |
| 1376879478 | Ivy Creek of Elmore LLC | Otolaryngology | 53 Cambridge Court, Wetumpka, AL 36093 | 2009-10-23 |
| 1790815249 | Wetumpka Family Dentistry PC | Clinic/Center | 4045 Hwy 231, Wetumpka, AL 36093 | 2007-03-06 |
| 1962552448 | Ronaldo V Dejesus | Internal Medicine | 41 Cambridge Court, Wetumpka, AL 36093 | 2007-01-10 |
| 1538249149 | Bobby Joseph Luster | Chiropractor | 2412 Us Highway 231, Wetumpka, AL 36093-1209 | 2006-10-17 |
| 1942349626 | David Clark Young | Dentist | 4045 Us Highway 231, Wetumpka, AL 36093-1217 | 2007-02-06 |
| 1154784403 | Pharmix Rx LLC | Pharmacy | 66 Village Loop, Wetumpka, AL 36093-1221 | 2016-04-04 |
| 1700307113 | Sabrina Jackson | Home Health Aide | 4037 Us Highway 231 Ste B, Wetumpka, AL 36093-1224 | 2017-07-06 |
| 1427326834 | Clarence Dequan Merckerson | Counselor | 4035 Us Highway 231 Ste F, Wetumpka, AL 36093-1224 | 2011-12-13 |
| Find all providers in zip 36093 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| 1437661030 | Susan Nicole Bettis | Nurse Practitioner | 295 S Jackson St Ste B, Grove Hill, AL 36451-3231 | 2017-11-04 |
| Find all providers with the same taxonomy | ||||
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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.