DR. MELANIE DANE LOGUE (NPI# 1336121094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121094 |
| Entity Type | Individual |
| Full Name | DR. MELANIE DANE LOGUE |
| Credential | PHD, DNP, APRN, CFNP |
| Practice Address |
1000 Vale Terrace Dr Vista CA 92084 |
| Mailing Address |
11575 W Candelilla Way Peoria AZ 85383-4556 |
| Practice Telephone | 3085003844 |
| Mailing Telephone | 2352327656 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN083247 | AZ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN95148897 | CA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95008920 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF95008920 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP0835 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 490699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093611 | Melanie Anne Logue | Dietitian, Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-13 |
| Street Address |
1000 VALE TERRACE DR |
| City | VISTA |
| State | CA |
| Zip Code | 92084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575888 | Debra S Edson | Dentist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2005-08-16 |
| 1366053548 | Julie Ann Mistretta | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-08-12 |
| 1528686318 | Nienke Aiko Sahelijo | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-07-08 |
| 1457995706 | Kaliana Chamberlin | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-10-30 |
| 1609423342 | Mary Ann Parales | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-08-19 |
| 1083268023 | An Nhi Thi Vo | Pharmacist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-07-29 |
| 1508427899 | Sara Tousi | Social Worker | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-06-26 |
| 1316501562 | Vista Community Clinic | Case Manager/Care Coordinator | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-04-23 |
| 1205391703 | Olga R Jackson | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-02-08 |
| 1942776166 | Angelica Aguilera Fox | Dental Hygienist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257210 | Tamrah Jennings | Nurse Practitioner | 1830 Goldenrod Ln, Vista, CA 92081-5341 | 2020-08-29 |
| 1750827895 | Angela Maria Bretton | Nurse Practitioner | 2067 W Vista Way Ste 140, Vista, CA 92083-6032 | 2017-01-12 |
| 1831648880 | Vera Cordova | Nurse Practitioner | 708 Titanium Pl, Vista, CA 92083-4420 | 2016-09-30 |
| 1407170590 | Keira Kathleen Dillon | Nurse Practitioner | 3030 Enterprise Ct, Vista, CA 92081-8362 | 2010-03-18 |
| 1366053548 | Julie Ann Mistretta | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-08-12 |
| 1528686318 | Nienke Aiko Sahelijo | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-07-08 |
| 1457995706 | Kaliana Chamberlin | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-10-30 |
| 1609423342 | Mary Ann Parales | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-08-19 |
| 1780245449 | Mallory Nicole Markis | Nurse Practitioner | 130 Cedar Rd, Vista, CA 92083-5102 | 2019-06-24 |
| 1578126595 | Stephanie Ann Griffin | Nurse Practitioner | 1964 Via Ctr, Vista, CA 92081-6056 | 2019-04-16 |
| Find all providers in VISTA | ||||
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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.