MRS. SALLY STEPHENS LOGAN (NPI# 1023298650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023298650 |
| Entity Type | Individual |
| Full Name | MRS. SALLY STEPHENS LOGAN |
| Credential | R.D. |
| Practice Address |
1732 Buckley Arch Virginia Beach VA 23453-7081 |
| Practice Telephone | 7574308256 |
| Mailing Telephone | 7574308256 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGISTRATION NUMBER | 448386 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1891052023 | Sally Logan | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2012-04-12 |
| Street Address |
1732 BUCKLEY ARCH |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-7081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286148 | Kelly L Honeycutt | Dietitian, Registered | 5016 Hassell St, Virginia Beach, VA 23455-2606 | 2020-08-17 |
| 1023635265 | Brittany Sharp Bailey | Dietitian, Registered | 5757 Accomac Sq, Virginia Beach, VA 23455-2348 | 2020-07-04 |
| 1588219950 | Angela Marie Carson | Dietitian, Registered | 1932 Aquamarine Dr, Virginia Beach, VA 23456-1362 | 2019-08-02 |
| 1023590593 | Sabrina Cullison | Dietitian, Registered | 1079 Independence Blvd, Virginia Beach, VA 23455-5523 | 2018-08-31 |
| 1487172888 | Balance Health LLC | Dietitian, Registered | 809 Duke of Suffolk Dr, Virginia Beach, VA 23454-2919 | 2017-09-06 |
| 1639697667 | Mary Dye Nutrition, LLC | Dietitian, Registered | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2017-08-30 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1689037822 | Karen Walsh Bremenstul | Dietitian, Registered | 1847 Duke of York Quay, Virginia Beach, VA 23454-1126 | 2016-04-04 |
| 1407225824 | Jennifer Hoffman | Dietitian, Registered | 1612 Poincare Bnd, Virginia Beach, VA 23454-6926 | 2015-09-15 |
| 1902288368 | Housecall Nutrition of Virginia LLC | Dietitian, Registered | 105 Sea Trace Ct, Apt 102, Virginia Beach, VA 23451-4448 | 2015-06-22 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on MRS. SALLY STEPHENS LOGAN.
| 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.