BETHANY LOGAN (NPI# 1851817340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851817340 |
| Entity Type | Individual |
| Full Name | BETHANY LOGAN |
| Practice Address |
500 Burlington Rd Ste 240 Jackson OH 45640-9360 |
| Mailing Address |
3086 State Route 160 Gallipolis OH 45631-8409 |
| Practice Telephone | 7402865075 |
| Practice Fax Number | 7403958411 |
| Mailing Telephone | 7404465500 |
| Mailing Fax Number | 7404462159 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
500 BURLINGTON RD STE 240 |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720054844 | Lisa Lavonne Kearns | Nurse Practitioner | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2006-02-28 |
| 1346894995 | Kaitlyn L Thornsberry | Social Worker | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2019-07-31 |
| 1891253720 | Lindsay Speraw | Behavioral Analyst | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2019-03-11 |
| 1104396613 | Abigail Elizabeth Christensen | Social Worker | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-11-27 |
| 1699254383 | Brian Bettonville | Psychologist | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-08-13 |
| 1043799570 | Kimberly D Mcguire | Counselor | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-08-07 |
| 1003319211 | Cheryl Lyn Morris | Counselor | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-03-14 |
| 1639670441 | Janetta L Denney | Counselor | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-02-27 |
| 1861909400 | Hopewell Health Centers Inc | Clinic/Center | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2018-01-04 |
| 1477066645 | Lisa Bradley | Licensed Practical Nurse | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2017-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644135 | Leslie Sue Krantz | Case Manager/Care Coordinator | 8431 Oakpoint Dr, Jackson, MI 49201-9229 | 2020-03-20 |
| 1669008405 | Alt Best Practices Bhom2, LLC | Case Manager/Care Coordinator | 81 Crooked Stick Rd, Jackson, NJ 08527-4032 | 2020-03-12 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1336601459 | Richard Daniel Bryant | Case Manager/Care Coordinator | 950 W Monroe St Ste 600a, Jackson, MI 49202-2079 | 2019-04-05 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053893792 | Allison Brynne Liljestrom | Case Manager/Care Coordinator | 355 Arapahoe Ln, Jackson, WY 83001-8607 | 2018-08-29 |
| 1033691845 | Debra Ann Hathcock | Case Manager/Care Coordinator | 724 W Snow King Ave # 7825, Jackson, WY 83001-8498 | 2018-08-29 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1245690924 | Darlene Bell | Case Manager/Care Coordinator | 546 Clydes Way, Jackson, GA 30233-1891 | 2016-02-24 |
| 1598134256 | Theodore Weber Shoaf | Case Manager/Care Coordinator | 3405 S Winding Trail Dr, Jackson, WY 83001-9257 | 2015-09-23 |
| Find all providers in JACKSON | ||||
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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.