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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION | F09191416 | 01 |
Street Address |
126 MAIN ST |
City | HALSTEAD |
State | KS |
Zip Code | 67056-1708 |
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 |
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 |
Find all providers in zip 67056 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
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 |
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.