Dustin Allen Logue, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

06078 Issued in LA

Practice address

12902 Plank Rd
Baker, LA 70714-4911

Phone

(225) 369-7006

Fax

(225) 774-2827

NPI assigned

Jan 11, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

South Louisiana Primary Care, LLCGroup PAC ID 7416245923, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.logue@slpc-la.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Louisiana Primary Care LLC

  • Family Medicine Physician
  • Baker, LA
  • NPI 1447705074
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District 1 of East Baton Rouge Parish

  • Endoscopy Clinic/Center
  • Zachary, LA
  • NPI 1255080503

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1376591941
  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Allergy & Immunology Physician
  • Zachary, LA
  • NPI 1740061076

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Gastroenterology Physician
  • Zachary, LA
  • NPI 1952878506

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Dermatology Physician
  • Zachary, LA
  • NPI 1992477111

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003146226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144911",
            "telephone_number": "225-774-0733",
            "fax_number": "225-774-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144911",
            "telephone_number": "225-369-7006",
            "fax_number": "225-774-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "DUSTIN",
        "middle_name": "ALLEN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "06078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Leblanc, MDIV
• Ebony Faith Lewis
• Robin Lewis
• Vena Lewis
• Charles Ray Lindsey
• Louisiana CVS Pharmacy, L.L.C.
• Louisiana Human Care Connection Inc
• Louisiana Human Care Connection Inc
• Louisiana Human Care Connection, Inc.
• Bianca Loyd, PHARMD

• Adult Health Nurse Practitioner in Baker, LA
• Providers in Baker, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.