MARKEISHA L LOGAN (NPI# 1841832334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841832334 |
| Entity Type | Individual |
| Full Name | MARKEISHA L LOGAN |
| Practice Address |
104 Jungermann Rd # F Saint Peters MO 63376-1608 |
| Practice Telephone | 6362442112 |
| Mailing Telephone | 6362442112 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 1437 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 821091387 | 05 |
| Street Address |
104 JUNGERMANN RD # F |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626635 | Danielle Marie Thomas | Adult Companion | 3928 E 47th Ter, Kansas City, MO 64130-2423 | 2020-10-16 |
| 1538715248 | Octavia Louise Mcquitty | Adult Companion | 504 Rocheport St, Fayette, MO 65248-1290 | 2019-08-18 |
| 1831745413 | Ronnie H Williams | Adult Companion | 4263 W Page Blvd, Saint Louis, MO 63113-3139 | 2019-08-10 |
| 1497309595 | Brenda Lee Carpenter | Adult Companion | 18724 N Locust Grove Rd, Sturgeon, MO 65284-9129 | 2019-07-26 |
| 1457820557 | Alexis Gatson | Adult Companion | 3020 Nw 57th St, Kansas City, MO 64151-2986 | 2018-11-19 |
| 1043786494 | Jasmine J Joiner | Adult Companion | 12350 Centerbrook Dr, Black Jack, MO 63033-7314 | 2018-10-23 |
| 1285153445 | Kewana M Brown | Adult Companion | 5824 Maple Avenue, Saint Louis, MO 63112-6311 | 2017-09-19 |
| 1174991756 | Best Tlc Corporation | Adult Companion | 305 Timber Creek Dr, Jefferson City, MO 65109-6520 | 2015-09-13 |
| 1932580172 | Laquita Darden | Adult Companion | 3208 Rue Royale, 2, Saint Charles, MO 63301-8355 | 2015-06-13 |
| 1851700942 | Christina Lacey | Adult Companion | 2012 Oregon Ave Apt B, Saint Louis, MO 63104-2115 | 2014-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.