LOGAN PHYSICIAN PRACTICE, LLC (NPI# 1265740765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265740765 |
| Entity Type | Organization |
| Organization Name | LOGAN PHYSICIAN PRACTICE, LLC |
| Other Organization Name | AUBURN COMMUNITY FAMILY CLINIC |
| Practice Address |
128 Sugar Maple Drive Auburn KY 42206 |
| Practice Telephone | 6159570847 |
| Mailing Telephone | 6159570847 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | TIMOTHY VAUGHN (VICE PRESIDENT) |
| Authorized Official Telephone | 6155651556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Auburn Community Family Clinic | Doing Business As Name - Organization |
| Street Address |
128 SUGAR MAPLE DRIVE |
| City | AUBURN |
| State | KY |
| Zip Code | 42206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
| 1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
| 1326194986 | Barry W Stahl | Dentist | 104 East Main Street, Auburn, KY 42206 | 2007-01-26 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1093169823 | Tara Jackson | Early Intervention Provider Agency | 104 G Corum Ln, Auburn, KY 42206-5000 | 2016-04-18 |
| 1962867713 | Staples Health Clinic, LLC | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2015-12-21 |
| 1851549422 | Stacia Ashley Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2008-09-08 |
| 1386751709 | James Marvin Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2006-08-23 |
| 1164403564 | Bolster Health Care Group LLC | Skilled Nursing Facility | 139 Pearl St, Auburn, KY 42206-5121 | 2005-11-11 |
| 1013179969 | Cindy Pawley | Case Manager/Care Coordinator | 5210 Friendship Rd, Auburn, KY 42206-5201 | 2008-07-01 |
| Find all providers in zip 42206 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778998 | Alice Sisi Wen | Nurse Practitioner | 121 N Division St Ste 100, Auburn, WA 98001-4931 | 2019-06-13 |
| 1801362579 | Kimberly Patrick | Nurse Practitioner | 1518 Professional Pkwy Ste A, Auburn, AL 36830-2857 | 2018-10-19 |
| 1023590304 | Allison Paige Hamel | Nurse Practitioner | 319 Southbridge St Ste 100, Auburn, MA 01501-2541 | 2018-09-03 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1851891667 | Delaney Baumann | Nurse Practitioner | 1306 E 7th St Ste A, Auburn, IN 46706-2537 | 2018-02-19 |
| 1568976710 | Rachel Foster | Nurse Practitioner | 11795 Education St Ste 224, Auburn, CA 95602-2469 | 2017-11-27 |
| 1578929949 | Jennifer Goble | Nurse Practitioner | 4508 Auburn Way N Ste C, Auburn, WA 98002 | 2016-01-14 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1871915637 | Becky J Drerup | Nurse Practitioner | 1316 E 7th St Ste 4, Auburn, IN 46706-2538 | 2014-01-14 |
| 1386977072 | Samala J Penalver | Nurse Practitioner | 202 N Division St Ste 300, Auburn, WA 98001-4939 | 2009-09-11 |
| Find all providers in AUBURN | ||||
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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.