Shawna Marissa Logan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0074435 Issued in OK

Practice address

1101 Hillcrest Dr
Woodward, OK 73801-3027

Phone

(580) 256-3608

NPI assigned

Nov 12, 2009

Last updated

Oct 29, 2024By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawna.logan.5@1601.direct.athenahealth.com
• Direct secure messaging: slogan485383@direct.integrisok.com

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

• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Integris Health Woodward Hospital Inc

  dba Integris Health Woodward Hospital

  • General Acute Care Hospital
  • Woodward, OK
  • NPI 1558148627
  NPD (past)
• Integris Health Woodward Hospital Inc

  dba Integris Health Medical Group

  • Rural Health Clinic/Center
  • Woodward, OK
  • NPI 1649042284
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1063749018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST DR",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013027",
            "telephone_number": "580-256-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST DR",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013027",
            "telephone_number": "580-256-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SHAWNA",
        "middle_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0074435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawna.logan.5@1601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1101 Hillcrest Dr",
            "city": "Woodward",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738013027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Leslie, APRN-FNP-C
• Lifeworks Therapy Solutions Inc
• Bryan Little
• Denise Lively
• Ronald Daniel Livingston
• Lanas Long
• Troy Long
• Carey Longhofer, CSFA
• April Nicole Longoria
• Yosbelli Lora, B.S., MCP

• Family Nurse Practitioner in Woodward, OK
• Providers in Woodward, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.