JACKLYN LOGUE (NPI# 1497115216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497115216 |
| Entity Type | Individual |
| Full Name | JACKLYN LOGUE |
| Credential | CNP |
| Practice Address |
2525 Fox Run Pkwy Suite 101 Yankton SD 57078-5370 |
| Practice Telephone | 6056650062 |
| Mailing Telephone | 6056650062 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 111973 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | CP001028 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2525 FOX RUN PKWY SUITE 101 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360202 | Jeffrey A Johnson | Family Medicine | 2525 Fox Run Pkwy, Ste 200, Yankton, SD 57078-5370 | 2006-01-12 |
| 1114374485 | Brock Bills | Physical Therapist | 2525 Fox Run Pkwy, Yankton, SD 57078-5370 | 2016-05-17 |
| 1619229556 | Kent M. Patrick, M.d., P.C. | Clinic/Center | 2525 Fox Run Pkwy, Suite 200, Yankton, SD 57078-5370 | 2012-10-02 |
| 1538456686 | Erica J Garvey | Physical Therapist | 2525 Fox Run Pkwy, Suite 100, Yankton, SD 57078-5370 | 2011-07-08 |
| 1467749523 | Lewis & Clark Urology, Ltd. | Specialist | 2525 Fox Run Pkwy, Ste. 204, Yankton, SD 57078-5370 | 2011-07-08 |
| 1295742310 | Scott Lee Shindler | Podiatrist | 2525 Fox Run Pkwy, Suite 202, Yankton, SD 57078-5371 | 2006-08-02 |
| 1447278650 | Beth Johanna Beeman | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1881612091 | Todd Alan Farnham | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1689605016 | Ear Nose and Throat Associates PC | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-05 |
| 1932136173 | David Joel Abbott | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| 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 |
|---|---|---|---|---|
| 1518526599 | Thomas Allen Viereck | Nurse Practitioner | 1104 W 8th St, Yankton, SD 57078-3306 | 2019-06-12 |
| 1346608981 | Karla Walsh | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2016-02-09 |
| 1619003308 | Pamila Gail Vanmeeteren | Nurse Practitioner | 1028 Walnut St, Yankton, SD 57078-2910 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1033752183 | Kendra C. Storm | Nurse Practitioner | 3615 5th St Ste 107, Rapid City, SD 57701-7360 | 2019-10-22 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1316456908 | Mandy L Wilde | Nurse Practitioner | 104 W Birch St, Arlington, SD 57212 | 2017-09-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1275058216 | Angela Marie Mackner | Nurse Practitioner | 201 S Lloyd St Ste W190, Aberdeen, SD 57401-4509 | 2017-08-10 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
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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.