Susan Newell Logan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9370450 Issued in FL

Practice address

Coastal Nurse Practitioner Services
4358 Old Shell Road, Ste B234
Mobile, AL 36608

Phone

(251) 868-0012

NPI assigned

Sep 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Olga Dawn Susan Newell Logan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susan.logan.p2@direct.alegiscare.nextgenshare.com
• Direct secure messaging: susan.logan.p1@direct.alegiscare.nextgenshare.com

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1083199962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOUNDS RUN E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085404",
            "telephone_number": "251-490-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COASTAL NURSE PRACTITIONER SERVICES",
            "address_2": "4358 OLD SHELL ROAD, STE B234",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-868-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SUSAN",
        "middle_name": "NEWELL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-081654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9370450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA DAWN",
            "last_name": "LOGAN",
            "middle_name": "SUSAN NEWELL",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Lockwood, M.D.
• Mona Helene Loeser, LCSW
• Jeanette D Loftin, HOME SITTER/CAREGIVE
• Benjamin Lee Loftis
• Philippe J Logaglio, MD
• Katrina Loggins, FNP-BC
• Lola Mae'S House of Hope
• Michelle Short Lollar, PT
• Bentley Lolley
• Margaret Rose Lolley, MS, LPC, CCH

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, 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 Jun 25, 2024; 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.