AUDREY K LOGAN (NPI# 1053805119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053805119 |
| Entity Type | Individual |
| Full Name | AUDREY K LOGAN |
| Practice Address |
1403 Inkster Road Inkster MI 48141 |
| Practice Telephone | 3135652200 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1093038143 | Audrey Logan | Case Manager/Care Coordinator | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2010-03-03 |
| Street Address |
1403 INKSTER ROAD |
| City | INKSTER |
| State | MI |
| Zip Code | 48141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1861840571 | Jacqueline Nicole Kisse | Social Worker | 30000 Hiveley Road, Inkster, MI 48141 | 2016-06-03 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
| 1265858286 | Milqcare | Social Worker | 3220 Allen St, Inkster, MI 48141 | 2014-03-14 |
| Find all providers in zip 48141 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173942 | Madison Lynn-grayce Baker | Technician/Technologist | 32100 Telegraph Rd # 32100205, Bingham Farms, MI 48025-2452 | 2020-10-27 |
| 1164021424 | Jennifer Julia Schneider Stahl | Technician/Technologist | 1327 Cynthia Ave, Madison Heights, MI 48071-2697 | 2020-10-19 |
| 1114525847 | Monica Nikollbibaj | Technician/Technologist | 49970 Van Dyke Ave, Shelby Township, MI 48317-1347 | 2020-10-14 |
| 1992312342 | Brittany Moeller | Technician/Technologist | 1200 E Grand River Ave Apt 27, East Lansing, MI 48823-4922 | 2020-09-29 |
| 1639785801 | Diamond B Haynes | Technician/Technologist | 32100 Telegraph Rd Ste 209, Bingham Farms, MI 48025-2454 | 2020-09-22 |
| 1326654013 | Mariah Pino | Technician/Technologist | 15004 Mclain Ave, Allen Park, MI 48101-1819 | 2020-09-18 |
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1245842079 | Wasseem Haidar | Technician/Technologist | 32100 Telegraph Rd Ste 20548025, Bingham Farms, MI 48025-2452 | 2020-08-21 |
| 1336759158 | Cameron White | Technician/Technologist | 32100, Suite 205, Bingham Farms, MI 48025-2452 | 2020-08-06 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 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.