AMY L LOGAN (NPI# 1215171368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215171368 |
| Entity Type | Individual |
| Full Name | AMY L LOGAN |
| Credential | FNP |
| Practice Address |
3231 S National Ave Ste 140 Springfield MO 65807-7304 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178904132 |
| Practice Fax Number | 4178904140 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294414 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
149749 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191965758 | 05 | |
| MO | RR MCR | P01036352 | 01 |
| MO | 1215171368 | 05 | |
| MO | TRICARE | 431560263 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328503 | Amy Logan | Pharmacist | 1001 Potrero Ave Rm 1p6, San Francisco, CA 94110-3518 | 2013-12-05 |
| 1235623281 | Amy Brooke Logan | Optometrist | 1716 University Blvd, G080a, Birmingham, AL 35294-0010 | 2018-06-21 |
| 1639555295 | Amy Marie Logan | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-08-06 |
| 1710391305 | Amy Jo Logan | Physical Therapy Assistant | 3525 E Hanna Ave, Indianapolis, IN 46237-1230 | 2014-06-11 |
| Street Address |
3231 S NATIONAL AVE STE 140 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999386 | Geoffery Lynn Stanczyk | Obstetrics & Gynecology | 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 | 2005-08-12 |
| 1659819274 | Melanie Marsh | Nurse Practitioner | 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 | 2017-02-02 |
| 1336521798 | Wendy L. Robinson | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2015-06-22 |
| 1134501695 | Carla K. Athen | Nurse Practitioner | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2015-06-22 |
| 1306241518 | Dawn L. Webb | Registered Nurse | 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 | 2014-10-30 |
| 1417397472 | Kanya L Ahuja | Pediatrics | 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 | 2013-07-04 |
| 1386986545 | Bennett Adam Bolyard | Internal Medicine | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2013-03-25 |
| 1962741918 | Vanessa L. Montileone | Registered Nurse | 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 | 2013-02-12 |
| 1801133343 | Stephanie Kirsten Voorhis | Nurse Practitioner | 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 | 2013-01-03 |
| 1679824395 | Ashley N. Duey | Nurse Practitioner | 3231 S National Ave, Springfield, MO 65807-7304 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on AMY L 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.