LOGAN JAMES HOLLIS (NPI# 1093326274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093326274 |
| Entity Type | Individual |
| Full Name | LOGAN JAMES HOLLIS |
| Practice Address |
6001 Dodge St Omaha NE 68182-1102 |
| Mailing Address |
5612 S 95th Ter Omaha NE 68127-5206 |
| Practice Telephone | 4025542670 |
| Mailing Telephone | 3092380741 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6001 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68182-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770509135 | Mark Alan Snow | Specialist/Technologist | 6001 Dodge St, Hper 100, Omaha, NE 68182-0284 | 2006-07-15 |
| 1972141661 | Brian Douglas Petersen | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2019-12-13 |
| 1063059061 | Tyler James Gregurich | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2019-12-09 |
| 1649740762 | Kelly Seevers | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2018-12-01 |
| 1255816633 | Danielle R. Torres | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2018-10-01 |
| 1619455995 | Katie L Kirkpatrick | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182 | 2018-07-30 |
| 1093201725 | John Blackwell | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1767 | 2018-07-05 |
| 1467957373 | Yoshiki Imazaki | Student in an Organized Health Care Education/Training Program | 6001 Dodge St, Omaha, NE 68182-1102 | 2018-03-24 |
| 1366891855 | Charmayne Adams | Counselor | 6001 Dodge St, Omaha, NE 68182-1102 | 2016-06-06 |
| 1073992970 | Emily Gorman | Specialist/Technologist | 6001 Dodge St, Fh 024c, Omaha, NE 68182-0666 | 2015-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215122882 | Uno Athletic Training Services | Specialist/Technologist | 6001 Dodge St, Fh24, Omaha, NE 68182 | 2007-09-07 |
| 1770775645 | Amy Jayne Wood | Specialist/Technologist | 8303 Dodge Street-hper, Omaha, NE 68182 | 2007-08-15 |
| 1154530228 | Jennifer Lynne Krueger | Specialist/Technologist | 6001 Dodge Street Hper 100, Omaha, NE 68182 | 2007-05-22 |
| 1275031601 | Christopher John Burcal | Specialist/Technologist | 6001 Dodge Street H&k 207v, Omaha, NE 68182-0001 | 2018-01-31 |
| 1992105092 | Kahla N Atherton | Registered Nurse | 6323 Maverick Plaza, Omaha, NE 68182-0001 | 2014-08-26 |
| 1790744852 | Sheri A Rowland | Nurse Practitioner | 6323 Maverick Plz, Omaha, NE 68182-0001 | 2006-03-18 |
| 1649243825 | Thomas Allan Frette | Specialist/Technologist | University of Nebraska At Omaha, 6001 Dodge Street Fh 24, Omaha, NE 68182-0001 | 2006-02-09 |
| 1861000234 | Sarah Woelfel | Specialist/Technologist | 6323 Maverick Plaza, Omaha, NE 68182-0001 | 2020-07-21 |
| 1558904367 | Amber Lyn Golden | Nurse Practitioner | 6323 Maverick Plz, Omaha, NE 68182-0001 | 2019-10-24 |
| 1386066967 | Lauren Rawson | Specialist/Technologist | 6001 Dodge St # Fh024, Omaha, NE 68182-1102 | 2014-01-15 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902647 | Katia Lira Garcia | Student in an Organized Health Care Education/Training Program | 9153 Black St, Omaha, NE 68122-1823 | 2020-08-13 |
| 1508477589 | Nicole Amato | Student in an Organized Health Care Education/Training Program | 3306 S 52nd St, Omaha, NE 68106-3806 | 2020-08-12 |
| 1790393692 | Akshay Machanahalli Balakrishna | Student in an Organized Health Care Education/Training Program | 7710 Mercy Road, Suite 202 - Cu Department of Internal, Omaha, NE 68124-2353 | 2020-07-16 |
| 1124644703 | Michaelyn Aleah Everhart | Student in an Organized Health Care Education/Training Program | 9885575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2020-06-19 |
| 1043836992 | Glen Sheridan Clinton | Student in an Organized Health Care Education/Training Program | 981150 Nebraska Medical Center Omaha Ne 68198-1150, Omaha, NE 68198-0001 | 2020-06-16 |
| 1548885809 | Adam P Zobel | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Ctr # 5597372, Omaha, NE 68198-4150 | 2020-06-12 |
| 1972127918 | Krysta Mary Sutyak | Student in an Organized Health Care Education/Training Program | 986880 Nebraska Medical Center, Omaha, NE 68198-3280 | 2020-06-05 |
| 1023630209 | Tuan Anh Quang Ta | Student in an Organized Health Care Education/Training Program | 4400 Emile St Rm 3601, Omaha, NE 68198-0600 | 2020-05-11 |
| 1902434186 | Andrew William Enzler | Student in an Organized Health Care Education/Training Program | 623 S 56th St, Omaha, NE 68106-1318 | 2020-04-01 |
| 1952937732 | Ran Jing | Student in an Organized Health Care Education/Training Program | Unmc College of Medicine 985520 Nebraska Medical Center, Omaha, NE 68198-5520 | 2020-03-12 |
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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.