MS. REBECCA M. LOGUE (NPI# 1962553347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962553347 |
Entity Type | Individual |
Full Name | MS. REBECCA M. LOGUE |
Credential | ANP |
Practice Address |
14973 W Bell Rd Surprise AZ 85374-3236 |
Mailing Address |
Po Box 47090 Phoenix AZ 85068-7090 |
Practice Telephone | 6239345600 |
Practice Fax Number | 6239345603 |
Mailing Telephone | 6239345600 |
Mailing Fax Number | 6239345603 |
Enumeration Date | 2007-01-14 |
Last Update Date | 2013-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP1554 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 746547 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032957 | Rebecca Logue | Social Worker | 929 N 130th St # St3, Seattle, WA 98133-7500 | 2017-09-25 |
Street Address |
14973 W BELL RD |
City | SURPRISE |
State | AZ |
Zip Code | 85374-3236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932169919 | Ruth N Post | Internal Medicine | 14973 W Bell Rd, #100, Surprise, AZ 85374-3236 | 2006-03-24 |
1104485523 | Strong Health LLC | Clinic/Center | 14973 W Bell Rd, Surprise, AZ 85374-3236 | 2019-06-10 |
1386066264 | Surprise Health Center Pllc | Non-Pharmacy Dispensing Site | 14973 W Bell Rd, Suite 100, Surprise, AZ 85374-3236 | 2014-01-13 |
1427393776 | Shelly A Tellman | Registered Nurse | 14973 W Bell Rd, #100, Surprise, AZ 85374-3236 | 2012-11-27 |
1023243003 | E Z Sleep Lab, LLC | Clinic/Center | 14973 W Bell Rd, Surprise, AZ 85374-3236 | 2009-05-20 |
1093928244 | Sleep Ez Clinic | Specialist | 14973 W Bell Rd, Suite 100, Surprise, AZ 85374-3202 | 2007-05-07 |
1083798334 | Ravi K Bajpai | Family Medicine | 14973 W Bell Rd, #100, Surprise, AZ 85374-3202 | 2006-10-24 |
1467563718 | Surprise Health Center, Pllc | Internal Medicine | 14973 W Bell Rd, #100, Surprise, AZ 85374-3202 | 2006-08-31 |
1215047196 | Walter Richard Hadikin | Family Medicine | 14973 W Bell Rd, Ste #100, Surprise, AZ 85374-3202 | 2006-08-30 |
1245340165 | Paulette Leguizamon | Registered Nurse | 14973 W Bell Rd, Suite #100, Surprise, AZ 85374-3202 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
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Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003883273 | Teri Victor | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-03-07 |
1952964660 | Century Health Care Np LLC | Nurse Practitioner | 12301 W Bell Rd Ste B107, Surprise, AZ 85378-9706 | 2019-04-17 |
1760975312 | Michelle Witzel | Nurse Practitioner | 12301 W Bell Rd Ste B107, Surprise, AZ 85378-9706 | 2018-06-08 |
1235648148 | Charis Wilder | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2017-09-22 |
1700269115 | Jennifer Meghan Weitman | Nurse Practitioner | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-7280 | 2015-07-02 |
1326313222 | Jennifer Hill | Nurse Practitioner | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-03-12 |
1174712491 | Pamela Sue Conn | Nurse Practitioner | 14674 W Mountain View Blvd, Suite 200, Surprise, AZ 85374-2705 | 2007-10-23 |
1982643987 | Annette H Tuszynski | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
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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.