KATHERINE LOGAN (NPI# 1205336419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205336419 |
| Entity Type | Individual |
| Full Name | KATHERINE LOGAN |
| Practice Address |
39 Hatherly Rd Waltham MA 02452-5735 |
| Practice Telephone | 3392220957 |
| Mailing Telephone | 3392220957 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN2288161 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905006 | Katherine Elizabeth Logan | Student in an Organized Health Care Education/Training Program | 241 Sand Creek Dr # 10210, Murrells Inlet, SC 29576-5796 | 2020-06-02 |
| 1215354287 | Katherine Logan | Occupational Therapy Assistant | 1409 Roper Mountain Rd, Apt. 165, Greenville, SC 29615-5101 | 2014-03-27 |
| 1972731040 | Katherine Chiffon Logan | Speech-Language Pathologist | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2009-06-29 |
| Street Address |
39 HATHERLY RD |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600188 | Carolyn Rose Gillespie | Nurse Practitioner | 465 Waverley Oaks Rd Ste 201, Waltham, MA 02452-8489 | 2017-10-13 |
| 1164676417 | Diana Denning | Nurse Practitioner | 415 South St # Ms 034, Waltham, MA 02453 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809332 | Bridget Hillary Barrett | Nurse Practitioner | 5 Dean Cir, Andover, MA 01810-3304 | 2020-07-30 |
| 1144839192 | Lisa Anne Ruffy | Nurse Practitioner | 60 Binney St, Cambridge, MA 02142-1512 | 2020-07-27 |
| 1255949939 | Jazz Lesoleil Hicks | Nurse Practitioner | 16 Forest St, Carver, MA 02330-1115 | 2020-07-17 |
| 1841838935 | Katelyn Tulp Mcnair | Nurse Practitioner | 174 3rd St, Cambridge, MA 02141-2140 | 2019-12-19 |
| 1922642800 | Megan A Lovell | Nurse Practitioner | 200 Commerce Dr # 2, Northbridge, MA 01534-1425 | 2019-11-04 |
| 1003459371 | Elizabeth Connelly Kudzma | Nurse Practitioner | 514 Holly Rd, Marshfield, MA 02050-1775 | 2019-10-19 |
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1962069930 | Claudia Anastasia Montesdeoca | Nurse Practitioner | 348 Hyde Park Ave # 3, Roslindale, MA 02131-2116 | 2019-05-24 |
| 1134694565 | Theresa C Murphy | Nurse Practitioner | 100 West St Ste 1, Needham, MA 02494-1319 | 2018-10-12 |
| 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.