SAMANTHA LOGRASSO


Address: 4055 Valley View Ln Suite 400, Dallas, TX 75244
Phone: 8778685351

SAMANTHA LOGRASSO (NPI# 1972157436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972157436
Entity Type Individual
Full Name SAMANTHA LOGRASSO
Credential FNP
Practice Address 4055 Valley View Ln Suite 400
Dallas
TX 75244
Mailing Address 9128 Farmington Road
Livonia
MI 48150
Practice Telephone 8778685351
Mailing Telephone 3136232736
Enumeration Date 2019-08-01
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
4704285749 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704285749 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4055 VALLEY VIEW LN SUITE 400
City DALLAS
State TX
Zip Code 75244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316561194 Kevin Goodnight Behavioral Analyst 4230 Sigma Road, Dallas, TX 75244 2020-06-08
1851941413 Medi-wheels, LLC Durable Medical Equipment & Medical Supplies 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 2019-09-16
1205313780 Cherae Ashland Burton Licensed Vocational Nurse 4099 Mcewen Rd., Farmers Branch, TX 75244 2018-07-26
1700383197 Melissa Fitts Behavioral Analyst 13604 Midway Rd. #180, Farmers Branch, TX 75244 2018-04-11
1932607983 Vcphcs, Lp Clinic/Center 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 2018-01-24
1518406636 Gentech Laboratories LLC Clinical Medical Laboratory 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 2017-02-22
1881045680 Innovative Lifeskills Training Center LLC Preferred Provider Organization 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 2016-06-23
1376992792 Lynnlie Tuschoff Registered Nurse 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 2016-06-07
1609223072 Debra Jules Licensed Vocational Nurse 4099 Mcewen Road, Dallas, TX 75244 2016-05-16
1740649441 J Diane Colter, Dds, Pa Dentist 12300 Inwood Rd., Ste #220, Dallas, TX 75244 2016-02-23
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063969459 Nrs, Inc Nurse Practitioner 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 2016-09-02
1851797294 Annette Moncion Nurse Practitioner 32 Midland Lane, Dallas, GA 30157 2014-11-12
1952728636 Derrick Micah Love-jones Nurse Practitioner 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 2014-03-19
1932719606 Jenny Garner Tharp Nurse Practitioner 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 2020-08-06
1386272466 Asha Y Dwumfour-poku Nurse Practitioner 5200 Harry Hines Blvd, Dallas, TX 75235-7709 2020-04-01
1689211963 Callie Lauren Harris Nurse Practitioner 5200 Harry Hines Blvd, Dallas, TX 75235-7709 2019-12-05
1891332656 Sharonda Ransom Nurse Practitioner 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 2019-11-28
1740824473 Sandra Carranza Nurse Practitioner 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 2019-11-06
1700348836 Kathryn Nicole Aubuchon Nurse Practitioner 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 2019-04-06
1437610334 Victorian Healthcare Nurse Practitioner 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 2019-03-25
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Competitor

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City DALLAS
Zip Code 75244

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Dataset Information

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.

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