Stevonica J Logan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-176787 Issued in AL

Practice address

400 Whitesport Dr SW Ste 103
Huntsville, AL 35801-6429

Phone

(256) 799-2509

Fax

(256) 799-2400

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  AL, Family

  Medicare reassignment Care Compare group NPD
• NP Health of TN PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1841888591

  TN

  Medicare reassignment Care Compare group NPD
• Happi Health

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
  • NPI 1528580404
  Medicare reassignment NPD
• Apogee Medical Group Tennessee PC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1578717682

  TN

  Medicare reassignment NPD
• Happi Health

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
  • NPI 1639809247
  NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1043917016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-799-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-799-2509",
            "fax_number": "256-799-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "STEVONICA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-176787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laray Lockhart
• Jason Lockman, DPT
• Jenna Lofthus, LGSW
• Robin Roney Loftin, CRNP
• Nyla Lofton, BD
• Kelsey Lohmann, LMSW
• Courtney Lohse IV
• Brittany Loman
• Sandra Londono-Sweeney, DPT
• Adam W Long, CRNA

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.