JESSICA ANNE LOGAN (NPI# 1124492863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124492863 |
| Entity Type | Individual |
| Full Name | JESSICA ANNE LOGAN |
| Practice Address |
1522 Michael St Emmett ID 83617-9442 |
| Practice Telephone | 2089012891 |
| Practice Fax Number | 2083654205 |
| Mailing Telephone | 2089012891 |
| Mailing Fax Number | 2083654205 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306179742 | Jessica M. Logan | Speech-Language Pathologist | 3 Springbrook Dr, North Chili, NY 14514-1220 | 2009-09-17 |
| 1528514015 | Jessica Logan | Case Manager/Care Coordinator | 1513 Line Ave Ste 315, Shreveport, LA 71101 | 2016-08-25 |
| 1033562558 | Jessica Logan | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2016-07-20 |
| 1417306556 | Jessica Logan | Pharmacist | 1800 Highway 45 N, Columbus, MS 39705-2110 | 2016-06-09 |
| 1356628689 | Jessica Logan | Social Worker | 89-195 Farrington Hwy, Waianae, HI 96792-4102 | 2011-11-15 |
| 1083841134 | Jessica Logan | Internal Medicine | 50 Irving St Nw, Medical Service Office, Washington, DC 20422-0001 | 2009-06-16 |
| 1205075488 | Jessica Lynn Logan | Counselor | 76 Church St, Whitinsville, MA 01588-1464 | 2009-02-12 |
| 1255499570 | Jessica Lee Logan | Dentist | 11 Kiel Ave, Kinnelon, NJ 07405-2549 | 2006-12-06 |
| Street Address |
1522 MICHAEL ST |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508223900 | Aspen Ridge Social Services | Case Management | 1522 Michael St, Emmett, ID 83617-9442 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790833424 | Mj Counseling and Case Management | Case Manager/Care Coordinator | 2328 Mountain View Dr, Box 130, Emmett, ID 83617-9533 | 2007-01-08 |
| 1427369560 | Mj Social Services Inc | Case Manager/Care Coordinator | 2328 Mountain View Dr, Box 130, Emmett, ID 83617-9533 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453950 | Shane Robinson | Case Manager/Care Coordinator | 131 W Bridge St, Blackfoot, ID 83221-2704 | 2020-03-23 |
| 1386295517 | Diane Miller | Case Manager/Care Coordinator | 601 N San Juan Way, Boise, ID 83712-6524 | 2019-09-29 |
| 1932631207 | Sarah Louise Price | Case Manager/Care Coordinator | 1018 Briarwood Dr, Nampa, ID 83651-2115 | 2017-03-28 |
| 1184082638 | Sandi Francis | Case Manager/Care Coordinator | 1271 W Quinn Rd, Pocatello, ID 83202-2755 | 2016-01-29 |
| 1093180895 | Melissa Goeckner | Case Manager/Care Coordinator | 233 Gooding St. N, Twin Falls, ID 83301-6179 | 2015-12-04 |
| 1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
| 1225433956 | Lori Petersen | Case Manager/Care Coordinator | 518 S 13th St, Coeur D Alene, ID 83814-3919 | 2014-10-23 |
| 1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
| 1467796540 | Susan Marie Amaral | Case Manager/Care Coordinator | 2120 N Lakewood Dr Ste B, Coeur D Alene, ID 83814-2638 | 2012-11-15 |
| 1285997908 | Kimberly Ann Carruthers | Case Manager/Care Coordinator | 1991 S Doe Creek Way, Boise, ID 83709-8518 | 2012-06-18 |
| 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.