Christi Marie Logan, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

873583 Issued in MI

Practice address

5955 Zeamer Ave
3 MDSS SGSD
Elmendorf Afb, AK 99506-3702

Phone

(907) 580-4316

Fax

(907) 580-5523

NPI assigned

Oct 18, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063401453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "3 MDSS SGSD",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-4316",
            "fax_number": "907-580-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "3 MDSS SGSD",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-4316",
            "fax_number": "907-580-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CHRISTI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "873583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Katharine Klamfoth, D.O.
• Winifred Gail Koehler, WHCNP
• Megan Kimberly Kruty, M.A.
• Raymond Joseph Legenza Jr., MD
• Sammy Joseph Leos, PA-C, DSC
• Jesse A Lopez, IDMT
• Richard Michael Luff, D.D.S.
• Vicki Ann Lumley, PH.D.
• Jonathan Madden, M.D.
• Michael Madsen, D.O.

• Registered Dietitian in Elmendorf Afb, AK
• Providers in Elmendorf Afb, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.