HEATHER LOUISE LOGAN (NPI# 1629434246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629434246 |
| Entity Type | Individual |
| Full Name | HEATHER LOUISE LOGAN |
| Credential | CRNP |
| Practice Address |
908 20th St S Community Care Building, 3rd Floor Birmingham AL 35294-2050 |
| Mailing Address |
908 20th St S Community Care Building, Avrc Birmingham AL 35294-2050 |
| Practice Telephone | 2059346774 |
| Mailing Telephone | 2059346774 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1-138861 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-138861 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1-138861 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336549351 | Heather L Logan | Lactation Consultant, Non-RN | 13241 Bartram Park Blvd, Suite 217, Jacksonville, FL 32258-5212 | 2014-08-27 |
| 1497915425 | Heather Ann Logan | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2008-06-12 |
| Street Address |
908 20TH ST S COMMUNITY CARE BUILDING, 3RD FLOOR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913805 | Susanne Eileen Fogger | Nurse Practitioner | 908 20th St S, Birmingham, AL 35205-2610 | 2005-06-26 |
| 1366098899 | Stephanie Miles | Psychiatry & Neurology | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-12 |
| 1679128813 | Erica Richa' Redwine | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-05 |
| 1093280182 | Richard Morgan Hamrick II | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-10-04 |
| 1396225983 | Tyler Anne Castleman | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-08-14 |
| 1407352602 | Aeryn Easterling Peck | Nurse Practitioner | 908 20th St S, Birmingham, AL 35205-2610 | 2018-04-05 |
| 1255839023 | Iesha Livinston Brown | Case Manager/Care Coordinator | 908 20th St S, Birmingham, AL 35205-2610 | 2018-01-26 |
| 1255845376 | Teria Jo Fuller | Registered Nurse | 908 20th St S, Birmingham, AL 35205-2610 | 2017-11-28 |
| 1134502669 | Bethany Pottratz | Social Worker | 908 20th St S, Ccb 4th Fl, Birmingham, AL 35205-2610 | 2015-07-01 |
| 1780067298 | Ayofemi Ward | Family Medicine | 908 20th St S, Birmingham, AL 35294-2050 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1295235372 | Ruben Angiolo Mazzucchelli | Student in an Organized Health Care Education/Training Program | 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 | 2018-02-15 |
| 1528571981 | Alison Rachel Thomas | Social Worker | Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 | 2017-11-08 |
| 1346752490 | Sara Michelle Kimbrell | Nurse Practitioner | 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 | 2017-10-30 |
| 1801338785 | Melissa Robinson | Specialist/Technologist | 608 13th St South, Wb104, Birmingham, AL 35294 | 2016-11-09 |
| 1487020897 | Heriberto Enrique Matos Santana | Student in an Organized Health Care Education/Training Program | 1900 University Blvd Tht Building 311, Birmingham, AL 35294 | 2015-08-19 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1407257629 | Kathryn Johannah Langley | Nurse Practitioner | 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 | 2014-09-08 |
| 1427463702 | Lakeshia Thomas | Student in an Organized Health Care Education/Training Program | 1919-7th Avenue South, 304a, Birmingham, AL 35294 | 2014-06-25 |
| Find all providers in zip 35294 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1619495348 | Hayley Graham Entrekin | Nurse Practitioner | 500 22nd St S Ste 506, Birmingham, AL 35233-3110 | 2017-09-01 |
| 1952851669 | Holly Marie Strauss | Nurse Practitioner | 1791 Cahaba Valley Rd, Birmingham, AL 35242 | 2016-10-05 |
| 1548653405 | Natalie Mcrae | Nurse Practitioner | 619 19th St S # Wpp333, Birmingham, AL 35249-6979 | 2015-03-16 |
| 1184851966 | Barbara A Boreen | Nurse Practitioner | 833 Saint Vincents Dr Ste 501, Pob IIi, Birmingham, AL 35205-1619 | 2009-06-18 |
| 1538269618 | Natalie Alicia Floyd | Nurse Practitioner | 700 19th Street South, Birmingham, AL 35233 | 2006-09-25 |
| 1144263898 | Amanda Couch Crawford | Nurse Practitioner | 701 Princeton Ave Sw Ste 4102, Birmingham, AL 35211-1303 | 2006-06-13 |
| 1013484278 | Rebecca Elizabeth Smith | Nurse Practitioner | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2018-10-25 |
| 1588158877 | Samantha Diane Williams | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-06-19 |
| 1164969531 | Haley Dye Lacey | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2017-01-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35294 |
Please comment or provide details below to improve the information on HEATHER LOUISE 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.