HEATHER L LOGAN (NPI# 1336549351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336549351 |
| Entity Type | Individual |
| Full Name | HEATHER L LOGAN |
| Practice Address |
13241 Bartram Park Blvd Suite 217 Jacksonville FL 32258-5212 |
| Practice Telephone | 9047234078 |
| Practice Fax Number | 9046479491 |
| Mailing Telephone | 9047234078 |
| Mailing Fax Number | 9046479491 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629434246 | Heather Louise Logan | Nurse Practitioner | 908 20th St S, Community Care Building, 3rd Floor, Birmingham, AL 35294-2050 | 2016-01-12 |
| 1497915425 | Heather Ann Logan | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2008-06-12 |
| Street Address |
13241 BARTRAM PARK BLVD SUITE 217 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833587 | Mark Andrew Matey | Podiatrist | 13241 Bartram Park Blvd, Suite 1809, Jacksonville, FL 32258-5227 | 2005-10-03 |
| 1942808977 | Etleva Iliazi | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2020-10-12 |
| 1952830093 | Lauren Kessenich | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2017-06-11 |
| 1497295505 | Blayne O Yerby | Physician Assistant | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-03-08 |
| 1366981904 | Jennifer Mooney | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-02-15 |
| 1902344427 | Raquel S Watkins Md Pllc | Allergy & Immunology | 13241 Bartram Park Blvd, Suite 2601, Jacksonville, FL 32258-5212 | 2017-02-03 |
| 1457805756 | Pediatric Innovation Center, LLC | Pediatrics | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2016-08-04 |
| 1386097442 | Khoi M Le | Dentist | 13241 Bartram Park Blvd, Ste. 1705, Jacksonville, FL 32258-5212 | 2016-07-13 |
| 1629453246 | Julian Bungubung | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5212 | 2015-07-24 |
| 1023496189 | Railing Chiropractic & Acupuncture | Chiropractor | 13241 Bartram Park Blvd, 509, Jacksonville, FL 32258-5212 | 2015-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881181824 | Jessica Willis | Lactation Consultant, Non-RN | 10852 Wingate Rd, Jacksonville, FL 32218-4575 | 2018-04-16 |
| 1245741891 | Rachel Sultzer | Lactation Consultant, Non-RN | 2857 Dellwood Ave, Jacksonville, FL 32205-5807 | 2017-10-22 |
| 1114463221 | Alicia Marie Corey | Lactation Consultant, Non-RN | 807 Tuscarora Trl, Jacksonville, NC 28546-6402 | 2017-01-12 |
| 1972045003 | Jessica Buckler | Lactation Consultant, Non-RN | 13241 Bartram Park Blvd Unit 217, Jacksonville, FL 32258-5233 | 2016-11-07 |
| 1093172017 | Marie Sproat | Lactation Consultant, Non-RN | 921b Lejeune Blvd, Jacksonville, NC 28540-5916 | 2016-01-21 |
| 1598163529 | Lori Shad | Lactation Consultant, Non-RN | 1616 Seminole Rd, Jacksonville, FL 32205-8635 | 2014-12-08 |
| 1033540877 | Christine Bodin | Lactation Consultant, Non-RN | 5141 Yacht Club Rd, Jacksonville, FL 32210-8323 | 2013-12-04 |
| 1922357912 | Kelly Googe | Lactation Consultant, Non-RN | 11352 Mandarin Ridge Ln, Jacksonville, FL 32258-1460 | 2012-09-05 |
| 1437553351 | Patricia Salazar | Lactation Consultant, Non-RN | 13241 Bartram Park Blvd, Suite 217, Jacksonville, FL 32258-5212 | 2014-10-21 |
| 1649679812 | Rhonda Thomason Dos Santos | Lactation Consultant, Non-RN | 13241 Bartram Park Blvd, Suite 217, Jacksonville, FL 32258-5212 | 2014-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on HEATHER 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.