JACQUELYN T LOGAN (NPI# 1528244134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528244134 |
| Entity Type | Individual |
| Full Name | JACQUELYN T LOGAN |
| Credential | ARNP |
| Practice Address |
3223 N Webb Rd Suite 1 Wichita KS 67226-8175 |
| Practice Telephone | 3166092600 |
| Practice Fax Number | 3166092800 |
| Mailing Telephone | 3166092600 |
| Mailing Fax Number | 3166092800 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 46150 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200550460A | 05 |
| Street Address |
3223 N WEBB RD SUITE 1 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-8175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154301687 | Leona K Adrian | Physician Assistant | 3223 N Webb Rd, Suite 1, Wichita, KS 67226 | 2006-01-19 |
| 1215445457 | Shawna Johnson | Nurse Practitioner | 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 | 2018-01-22 |
| 1508101775 | Ehtisham Neurovascular Institute & Aesthestics P.a. | Psychiatry & Neurology | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2012-11-29 |
| 1932414554 | Kristen Renee Hauserman | Nurse Practitioner | 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 | 2010-08-09 |
| 1134449937 | Lillian R Harstine Md Pa | Internal Medicine | 3223 N Webb Rd, S 3, Wichita, KS 67226-8175 | 2010-06-03 |
| 1740431600 | Hanger Prosthetics & Orthotics East, Inc | Durable Medical Equipment & Medical Supplies | 3223 N Webb Rd, Suite 4, Wichita, KS 67226-8175 | 2008-10-08 |
| 1538350830 | James Dudley Weimar | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-08-05 |
| 1164624516 | Christian S. Lothes | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-06-05 |
| 1598864001 | Pastor R Causin Jr. M.d., L.L.C. | Neuromusculoskeletal Medicine, Sports Medicine | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2006-09-21 |
| 1942302625 | Pastor Ruiz Causin Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2006-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
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| 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 |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
| 1104483098 | Advanced Infusion and Wellness Center, LLC | Nurse Practitioner | 10333 E 21st St N Ste 106, Wichita, KS 67206-3544 | 2019-05-25 |
| 1861978421 | Celeste Delaine Grothusen | Nurse Practitioner | 3510 N Ridge Rd Ste 100, Wichita, KS 67205-1210 | 2018-07-17 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1851672141 | Keri Dawn Spencer | Nurse Practitioner | Heartland Home Health & Hospice, 2872 N Ridge Road Suite 122, Wichita, KS 67205-1144 | 2011-08-31 |
| 1558657023 | Debbie Dao | Nurse Practitioner | 2622 W Central Ave Ste 101, Wichita, KS 67203-4970 | 2011-06-23 |
| 1942507785 | Jill D. Crotty | Nurse Practitioner | 551 N Hillside St Ste 510, Wichita, KS 67214-4928 | 2011-02-14 |
| Find all providers in WICHITA | ||||
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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.