MS. ROBERTA HELEN LOGAN (NPI# 1992038038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992038038 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA HELEN LOGAN |
| Credential | RN |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Practice Telephone | 7747661452 |
| Mailing Telephone | 7747661452 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
234569 | MA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
234569 | MA | Nursing Service Providers |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1902415813 | Sarah Coppenrath | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2020-07-27 |
| 1104307347 | Julia A Meehan | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-26 |
| 1043790629 | Holly Calamese-grazette | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-14 |
| 1427560796 | Wibie S Altidor | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-10-26 |
| 1598283459 | Janelle Weir | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-31 |
| 1699292839 | Justine Mcmahon | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-28 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| 1326565169 | Deann Paul | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-23 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485945 | Geraldei Paul | Registered Nurse | 24 Belmont Ct Apt 9, Brockton, MA 02301-4728 | 2020-07-22 |
| 1356672604 | Theresa Monahan Smith | Registered Nurse | 177 Carroll Ave, Brockton, MA 02301-6315 | 2010-01-27 |
| 1295898690 | Ann V Nicholson | Registered Nurse | 7 Christy Dr, Suite 3, Brockton, MA 02301-1813 | 2006-12-18 |
| 1982229415 | Mikayla Mcadams | Registered Nurse | 940 Belmont St Bldg 2, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1740830009 | Alanna C Fitzgerald | Registered Nurse | 10 Christy Dr, Brockton, MA 02301-1812 | 2019-09-18 |
| 1295383305 | Eric-paul Ernest Olsson | Registered Nurse | 231 Main St Fl 3, Brockton, MA 02301-4342 | 2019-09-01 |
| 1720566953 | Emily Dana Epstein | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2018-07-31 |
| 1205322757 | Agatha Cretzu | Registered Nurse | 940 Belmont St Bldg 2, Brockton, MA 02301-5596 | 2018-07-09 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| Find all providers in BROCKTON | ||||
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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.