MELISSA LOGAN (NPI# 1194330951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194330951 |
| Entity Type | Individual |
| Full Name | MELISSA LOGAN |
| Credential | IBCLC |
| Practice Address |
8099 Warren Rd Decatur AR 72722-9406 |
| Practice Telephone | 4806036261 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-109999 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124344288 | Melissa Tini Ngo Logan | Dentist | 7650 W Virginia Ave Unit A, Lakewood, CO 80226-3131 | 2010-04-14 |
| 1598128928 | Melissa Logan | Family Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-04-02 |
| 1629340120 | Melissa Logan | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-01-31 |
| 1316199961 | Melissa Kay Logan | Physical Therapist | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2008-10-15 |
| 1164403887 | Melissa Sims Logan | Surgery | 1301 Sigman Rd Ne, Suite 190, Conyers, GA 30012-3812 | 2005-11-09 |
| Street Address |
8099 WARREN RD |
| City | DECATUR |
| State | AR |
| Zip Code | 72722-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538244504 | Jerry Lee Young | Pharmacist | 154 Main St, Decatur, AR 72722 | 2006-10-26 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1023028016 | Spavinaw Clinics, Inc | Clinic/Center | 346 N. Main Street, Decatur, AR 72722-0735 | 2006-08-09 |
| 1205848249 | John L Garrett | Family Medicine | 346 N Main St, Decatur, AR 72722-0735 | 2006-08-11 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1053461004 | Decatur School District | Local Education Agency (LEA) | 1441 E Roller Ave, Decatur, AR 72722-9650 | 2007-01-11 |
| 1477511434 | Jeff Paul Honderich | Family Medicine | 346 N Main St, Decatur, AR 72722-9732 | 2006-05-01 |
| 1871013359 | Laticia Kay Sheffield | Family Medicine | 346 N Main St, Decatur, AR 72722-9732 | 2017-06-26 |
| 1316338361 | Jesse A Stafford | Physician Assistant | 346 N Main St, Decatur, AR 72722-9732 | 2015-02-12 |
| 1629493549 | Mitchell Atkins | Nurse Practitioner | 346 N Main St, Decatur, AR 72722-9732 | 2014-02-28 |
| Find all providers in zip 72722 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750597142 | Maeve Howett | Registered Nurse | 122 Lamont Dr, Decatur, GA 30030-2337 | 2007-05-15 |
| 1770877599 | Melissa Foster Lonnergan | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907455 | Kylie D'hoostelaere | Registered Nurse | 3202 Nw Alberta St, Bentonville, AR 72712-8430 | 2020-09-18 |
| 1851854905 | Pamela Yvette Mcarthur | Registered Nurse | 1401 Se Walton Blvd Ste 205, Bentonville, AR 72712-3768 | 2019-04-06 |
| 1144755810 | Tina Lynn Snider | Registered Nurse | 4320 N 32nd St, Fort Smith, AR 72904-2414 | 2017-05-01 |
| 1366995706 | Paula Ross, LLC | Registered Nurse | 305 E Pine St, Sheridan, AR 72150-2551 | 2016-08-02 |
| 1457753667 | Lila Diane Standefer | Registered Nurse | 2700 S Laurel Crossing Cir, Rogers, AR 72758-9206 | 2014-09-18 |
| 1245521095 | Susan Elaine Mcwilliams | Registered Nurse | 16888 Digby Dr, Siloam Springs, AR 72761-8522 | 2011-04-27 |
| 1629682539 | Paula Ross | Registered Nurse | 305 E Pine St, Sheridan, AR 72150-2551 | 2020-09-08 |
| 1679851620 | Linda M. Pabin | Registered Nurse | 2302 College Avenue, Conway, AR 72034 | 2011-07-25 |
Please comment or provide details below to improve the information on MELISSA LOGAN.
| 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.