LOGAN BREAKFIELD (NPI# 1144675547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144675547 |
| Entity Type | Individual |
| Full Name | LOGAN BREAKFIELD |
| Credential | FNP |
| Practice Address |
1010 E Dixon Blvd Ste B Shelby NC 28152-6838 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9804872900 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008546 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 |
| Street Address |
1010 E DIXON BLVD STE B |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-6838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753236 | Lewis Roberson II | Family Medicine | 1010 E Dixon Blvd, Ste B, Shelby, NC 28152-6838 | 2006-01-04 |
| 1912379157 | Kimberly Roberts | Nurse Practitioner | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2015-10-28 |
| 1386038099 | Myoshi Owens | Nurse Practitioner | 1010 E Dixon Blvd, Suite B, Shelby, NC 28152-6838 | 2015-03-20 |
| 1861812141 | Komal Parikh | Internal Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2014-04-24 |
| 1427489327 | Melissa Goldstein | Physician Assistant | 1010 E Dixon Blvd, Ste B, Shelby, NC 28152-6838 | 2013-12-03 |
| 1326475583 | Rocky Readling | Nurse Practitioner | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2013-10-02 |
| 1174958037 | Casey Hankins | Nurse Practitioner | 1010 E Dixon Blvd, Ste B, Shelby, NC 28152-6838 | 2013-09-11 |
| 1770925703 | Carolinas Physicians Network Inc | Internal Medicine | 1010 E Dixon Blvd, Ste B, Shelby, NC 28152-6838 | 2013-07-18 |
| 1689016628 | Carolinas Physicians Network Inc | Internal Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2013-07-18 |
| 1891063277 | Cleveland Health Ventures LLC | Family Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2011-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523695 | Tabitha Dawn Hofer | Nurse Practitioner | 24 Morris Rd Ste 2, Shelby, OH 44875-1170 | 2019-05-14 |
| 1316416555 | Chakun Tiffany Mcdaniel | Nurse Practitioner | 1215 Charles Rd, Shelby, NC 28152-7029 | 2018-11-16 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1114184207 | Heike Hermine Arrowood | Nurse Practitioner | 307 Christopher Road, Shelby, NC 28152 | 2008-05-18 |
| 1598951915 | Duane A Kelley | Nurse Practitioner | 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201 | 2007-09-19 |
| 1972717049 | Cynthia H Ebert | Nurse Practitioner | 222 North Lafayette Street, Suite 23, Shelby, NC 28150 | 2007-05-09 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1700483013 | Hayley Bowman | Nurse Practitioner | 200 S Post Rd, Shelby, NC 28152-6269 | 2020-10-08 |
| 1649898966 | Kimberly Jane Sinclair | Nurse Practitioner | 305 W College Ave, Shelby, NC 28152-8111 | 2020-07-13 |
| 1699309211 | Alexis C Hamilton | Nurse Practitioner | 808 Schenck St, Shelby, NC 28150-3934 | 2020-02-24 |
| Find all providers in SHELBY | ||||
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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.