JENNIFER A LOGAN (NPI# 1831582667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831582667 |
| Entity Type | Individual |
| Full Name | JENNIFER A LOGAN |
| Credential | MHP, RD, LDN |
| Practice Address |
125 Baldwin Ave Suite 200 Charlotte NC 28204-3370 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043845043 |
| Practice Fax Number | 7043848895 |
| Mailing Telephone | 7043845043 |
| Mailing Fax Number | 7043848895 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004143 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1124370226 | Jennifer D Logan | Counselor | 103 Appaloosa Cir, Goodfield, IL 61742-9300 | 2012-10-12 |
| 1598039984 | Jennifer Dawn Logan | Registered Nurse | 1706 N Semoran Blvd Ste 100, Orlando, FL 32807 | 2012-03-02 |
| 1861763948 | Jennifer Rose Logan | Counselor | 316 Chadwick Pl, Helena, AL 35080-3141 | 2012-01-20 |
| 1457344376 | Jennifer Coleman Logan | Family Medicine | 241b Freedom Way, Jacksonville Va Cboc, Jacksonville, NC 28544-1418 | 2005-08-25 |
| 1427051671 | Jennifer P Logan | Ophthalmology | 6715 Antigua Dr, Fort Collins, CO 80525-9433 | 2005-05-23 |
| 1184138539 | Jennifer Logan | Student in an Organized Health Care Education/Training Program | 405 Main St Fl 1, Danbury, CT 06810-4710 | 2017-11-21 |
| 1639620768 | Jennifer L Logan | Dietitian, Registered | 1701 4th St Ste 210, Santa Rosa, CA 95404-3661 | 2016-10-24 |
| 1487102034 | Jennifer Leigh Logan | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-09-12 |
| 1184043903 | Jennifer Kristin Logan | Radiology | 1400 S Orange Ave, Orlando, FL 32806-2134 | 2014-04-09 |
| Street Address |
125 BALDWIN AVE SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820289 | William S Roberts | Internal Medicine | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2005-09-07 |
| 1316319833 | Megan Beres | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2015-10-23 |
| 1831584176 | Annabelle Shrader Mann | Speech-Language Pathologist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2015-04-03 |
| 1740674993 | Brandy Powers | Physical Therapist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2015-03-26 |
| 1992082630 | Victoria J Barrett | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2011-11-09 |
| 1487946935 | Michelle Mintz Ray | Dietitian, Registered | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2011-05-03 |
| 1407150816 | Novant Medical Group, Inc. | Family Medicine | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2010-12-28 |
| 1750607776 | Holly Michele Thomas | Speech-Language Pathologist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2010-04-15 |
| 1861718843 | Darrelle L. Biddix | Physical Therapist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2010-04-15 |
| 1154647279 | Sandra Ritko Larsen | Physical Therapist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502081 | Leslie Thompson Van Horn | Dietitian, Registered | 7722 Quail Park Dr, Charlotte, NC 28210-6928 | 2020-09-14 |
| 1679188064 | Taryn Mattern | Dietitian, Registered | 4617 Dabney Vigor Dr, Charlotte, NC 28209-2839 | 2020-09-11 |
| 1508478017 | Katelin Emproto | Dietitian, Registered | 13521 Steelecroft Pkwy Unit D, Charlotte, NC 28278-7551 | 2020-08-18 |
| 1699386169 | Sequoia A Ridley | Dietitian, Registered | 7015 Berolina Ln Apt 1536, Charlotte, NC 28226-8710 | 2020-08-10 |
| 1396360954 | Madalyn Quinn | Dietitian, Registered | 309 S Sharon Amity Rd Ste 102, Charlotte, NC 28211-2886 | 2020-06-10 |
| 1578185567 | Madison Nancy Dodsworth | Dietitian, Registered | 11519 Painted Tree Rd, Charlotte, NC 28226-3841 | 2020-05-12 |
| 1356962203 | Lucy Price Hooper | Dietitian, Registered | 507 Queens Rd Apt 405, Charlotte, NC 28207-1592 | 2020-05-01 |
| 1457984478 | Tara Lavelle | Dietitian, Registered | 5434 Dockery Dr, Charlotte, NC 28209-3672 | 2020-02-18 |
| 1265072664 | Melanie Romano | Dietitian, Registered | 7733 Ballantyne Commons Pkwy Ste 201-i, Charlotte, NC 28277-4396 | 2020-01-14 |
| 1669016804 | Michael Decaro | Dietitian, Registered | 309 S Sharon Amity Rd Ste 101, Charlotte, NC 28211-2978 | 2019-10-31 |
| Find all providers in CHARLOTTE | ||||
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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.