CHRISTINE LOGUE (NPI# 1770908071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770908071 |
| Entity Type | Individual |
| Full Name | CHRISTINE LOGUE |
| Practice Address |
645 Parfet St Lakewood CO 80215-5574 |
| Practice Telephone | 3032397019 |
| Mailing Telephone | 3032397019 |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2014-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0991003 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
645 PARFET ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790843787 | Jefferson County | Public Health or Welfare | 645 Parfet St, Lakewood, CO 80215-5574 | 2006-12-04 |
| 1134746118 | Glen Rhodes II | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-06-25 |
| 1265055636 | Sarah Sweeterman | Social Worker | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-05-20 |
| 1265061782 | Samantha Josephine Gibbs | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-04-06 |
| 1487288585 | Sarah Kuettel | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2020-02-27 |
| 1255974291 | Greg Ellsworth | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-10-22 |
| 1255899050 | Jessie Smith | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-03-11 |
| 1134684608 | Angelica Monique Pereda | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-02-08 |
| 1538623558 | Sara Fruithandler | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-01-23 |
| 1629548474 | Kandace Swagerty | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2018-12-04 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1003045204 | Amy Michelle Medalie | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228-1833 | 2009-07-08 |
| 1669544813 | Grace E Slate | Nurse Practitioner | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2006-11-14 |
| 1447367198 | Brenda Digiulio | Nurse Practitioner | 14701 Detroit Ave Ste 522, Lakewood, OH 44107-4109 | 2006-08-25 |
| 1275520405 | Michelle Marie Hayes | Nurse Practitioner | 9101 Bridgeport Way Sw, Suite A, Lakewood, WA 98499 | 2005-10-03 |
| 1053959544 | Ahuva Hollander | Nurse Practitioner | 400 Madison Ave, Lakewood, NJ 08701-3225 | 2019-12-15 |
| 1952786824 | Leanne Beth Wellbrock | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228 | 2015-07-21 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1093053159 | Rebecca Kr Freeman | Nurse Practitioner | 255 Union Blvd, 120, Lakewood, CO 80228-1810 | 2013-01-24 |
| Find all providers in LAKEWOOD | ||||
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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.