LOGAN SMITH (NPI# 1366736456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366736456 |
| Entity Type | Individual |
| Full Name | LOGAN SMITH |
| Practice Address |
350 City View Dr Ste 302 Evanston WY 82930-5327 |
| Practice Telephone | 3077897915 |
| Practice Fax Number | 3077896009 |
| Mailing Telephone | 3077897915 |
| Mailing Fax Number | 3077896009 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372535 | Logan Smith | Chiropractor | 241 N Buffalo Dr Ste 100, Las Vegas, NV 89145-0307 | 2017-08-21 |
| 1821401068 | Logan Conrad Smith | Dentist | 2340 Marwood Dr, Waterford, MI 48328-1633 | 2014-06-05 |
| 1407840010 | Logan Michael Smith | Dentist | 5220 Neil Rd Ste 200, Reno, NV 89502-6536 | 2005-09-09 |
| 1689299091 | Logan C Smith | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2020-06-11 |
| 1497315196 | Logan M Smith | Physical Therapist | 1775 Alysheba Way Ste 10, Lexington, KY 40509-2479 | 2019-06-17 |
| 1235799024 | Logan Michael Smith | Student in an Organized Health Care Education/Training Program | 6400 Fannin St, 18th Floor, Houston, TX 77030-5389 | 2019-06-14 |
| 1841793809 | Logan Wheeler Smith | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-15 |
| 1467975441 | Logan Garrett Smith | Registered Nurse | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2017-07-20 |
| 1770964157 | Logan Thomas Smith | Nurse Practitioner | 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 | 2015-06-11 |
| 1962805432 | Logan Reckord Smith | Physician Assistant | 900 Centennial Blvd, #202, Voorhees, NJ 08043-4637 | 2014-09-29 |
| Street Address |
350 CITY VIEW DR STE 302 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043328719 | County of Uinta | Public Health or Welfare | 350 City View Dr, Ste 101, Evanston, WY 82930-5327 | 2006-08-25 |
| 1306273263 | Andrea Michelle Smith | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5307 | 2013-10-08 |
| 1184062168 | Tammy Maestas | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-06-12 |
| 1710225461 | Karrie Lee Nielsen | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-01-30 |
| 1124364385 | Liana Kaye Rasmussen | Social Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-12-17 |
| 1114286580 | Lisa Kay Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-05-04 |
| 1881960854 | Lisa Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-03-23 |
| 1184909665 | Stephen Jared Hardman | Counselor | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-10-17 |
| 1013297415 | Katherine Walworth | Community Health Worker | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-08-17 |
| 1679852073 | Jennifer Dunning | Community Health Worker | 350 City View Dr, Suite #302, Evanston, WY 82930-5327 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514132 | Bre Ann Brit Reinbold | Case Manager/Care Coordinator | 800 Walton Ave, Evanston, WY 82930-3460 | 2020-10-01 |
| 1477024149 | Kortney Booth Clark | Case Manager/Care Coordinator | 322 Gannett Dr, Evanston, WY 82930-8722 | 2018-12-06 |
| 1912459942 | Chicago House and Social Service Agency | Case Manager/Care Coordinator | 1612 Grove St, Evanston, IL 60201-4058 | 2016-10-25 |
| 1861856395 | Aaron Trammell | Case Manager/Care Coordinator | 1909 W Center St, Evanston, WY 82930-3151 | 2016-04-11 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1619360252 | Kathie (kc) Cobb | Case Manager/Care Coordinator | 1425 Highway 150 South, Suite 2, Evanston, WY 82930-1642 | 2015-03-06 |
| 1689015117 | Helen Mae Murillo | Case Manager/Care Coordinator | 1101 Center St, Evanston, WY 82930-3383 | 2013-07-12 |
| 1346681913 | Antoinette Mari Walworth | Case Manager/Care Coordinator | 219 7th St, Evanston, WY 82930-3537 | 2013-07-11 |
| 1487963575 | Lynda Kay Peace | Case Manager/Care Coordinator | 45 Straight and Narrow Dr, Evanston, WY 82930-4880 | 2010-10-07 |
| Find all providers in EVANSTON | ||||
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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.