Nikita Logan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10035 Issued in LA

Practice address

620 E Alexander St
Lafayette, LA 70501-2304

Phone

(832) 687-2771

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

Yes

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 LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Louisiana Primary Health Care Center, Inc 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southwest Louisiana Primary Health Care Center, Inc

  • Community Health Clinic/Center
  • Opelousas, LA
  • NPI 1093843187

  LA

  Medicare reassignment Care Compare group
• Southwest Louisiana Primary Health Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ville Platte, LA
  • NPI 1003042698
  Care Compare group
• Southwest Louisiana Primary Health Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, LA
  • NPI 1609120682
  Care Compare group
• Southwest Louisiana Primary Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Opelousas, LA
  • NPI 1508213000
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1124484274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62498",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705962498",
            "telephone_number": "832-687-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E ALEXANDER ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012304",
            "telephone_number": "832-687-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "NIKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danitra Locks, MSW, CSW
• Jashawna Lockwood
• Ankur Lodha, M.D
• Mary Loftin, R.A.C.
• Candace L Logan
• Paige Elizabeth Logan, CSW
• Amanda Case Logue, M.D.
• Vanessa Jill Lomas, MM, MTBC, NICUMT
• Balbariella Lopez-Livings
• Aimee Broussard Lopez, MOT, LOTR

• All providers in Lafayette, LA
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.