MRS. LOGAN RENAE MINKEVITCH


Address: 126 Main St, Halstead, KS 67056-1708
Phone: 3168353700

MRS. LOGAN RENAE MINKEVITCH (NPI# 1013550425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013550425
Entity Type Individual
Full Name MRS. LOGAN RENAE MINKEVITCH
Other Name LOGAN RENAE DUERKSEN
Credential APRN, FNP-C
Practice Address 126 Main St
Halstead
KS 67056-1708
Mailing Address 720 Medical Center Dr
Newton
KS 67114-8778
Practice Telephone 3168353700
Mailing Telephone 3162836103
Enumeration Date 2019-10-18
Last Update Date 2019-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
53-79018-072 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION F09191416 01

Office Location

Street Address 126 MAIN ST
City HALSTEAD
State KS
Zip Code 67056-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003368101 Health Ministries Clinic, Inc. Clinical Medical Laboratory 126 Main St, Halstead, KS 67056-1708 2016-10-25
1558741264 Health Ministries Clinic, Inc. Clinic/Center 126 Main St, Halstead, KS 67056-1708 2015-06-08
1356447189 E.diane Steeves Enterprises, Inc Family Medicine 126 Main St, Halstead, KS 67056-1708 2006-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811091002 Halstead Chiropractic Clinic Chiropractor 200 Main St, Halstead, KS 67056 2006-09-11
1215033113 City of Halstead Ambulance 303 Main St, Halstead, KS 67056-0312 2006-09-16
1770560963 Connie A Howard Physical Therapist 119 W 2nd St, Halstead, KS 67056-1604 2005-12-28
1336516152 Humble Healings Physical Therapy & Massage, LLC Clinic/Center 119 W 2nd St, Halstead, KS 67056-1604 2015-08-27
1235766023 Action Physical Therapy Clinic/Center 200 Main St, Halstead, KS 67056-1913 2020-03-24
1619378528 Ward Chiropractic, Pa Chiropractor 200 Main St, Halstead, KS 67056-1913 2014-09-10
1952664716 Ward Chiropractic, P.a. Chiropractor 200 Main St, Halstead, KS 67056-1913 2012-06-18
1871630194 Halstead Dental Clinic Pa Dentist 212 Main St, Halstead, KS 67056-1913 2007-01-30
1700805785 Jarrod Wade Panzer Chiropractor 200 Main St, Halstead, KS 67056-1913 2006-07-19
1912116120 Halstead Hospital & Rehabilitation Center, LLC General Acute Care Hospital 328 Poplar St, Halstead, KS 67056-2014 2007-05-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1467051680 Debra Kim Lietzke Nurse Practitioner 4900 N 126th St, Kansas City, KS 66109-5121 2020-10-19
1487252490 Angela Lanae Spence Nurse Practitioner 618 Garfield St, Clay Center, KS 67432-1823 2020-10-12
1073110482 Jamely Olaechea Nurse Practitioner 8205 E Old Mill Ct, Wichita, KS 67226-4217 2020-10-08
1427655414 Trent Dylan Befort Nurse Practitioner 1012 Green St, Pratt, KS 67124-1311 2020-10-03
1083211031 Amanda Pierce Nurse Practitioner 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 2020-10-02
1902412117 Davina Rues Nurse Practitioner 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 2020-09-22
1588270037 Janie Phillips Nurse Practitioner 330 N Vassar St, Wichita, KS 67208-3219 2020-09-21
1437765013 Anjali Giri Nurse Practitioner 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 2020-09-19
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Competitor

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City HALSTEAD
Zip Code 67056

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Dataset Information

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.

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