Individual provider Active NPI

Logan Dees Thompson, CRNP

  • Family Nurse Practitioner
  • Toxey, AL
National Provider Identifier
1154182129
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-171406 Issued in AL
Practice address
16240 Highway 17
Toxey, AL 36921-2489
Phone
(251) 843-5949
Fax
(833) 941-4903
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-171406 AL Primary

Addresses

Primary practice location

16240 Highway 17
Toxey, AL 36921-2489

Mailing address

16240 Highway 17
Toxey, AL 36921-2489
Phone (251) 843-5949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240403002895 AL Practitioner - Nurse Practitioner 9638517170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic PC 3 clinicians

Practice addresses (Care Compare)

16240 Hwy 17
Toxey, AL 36921-2489
Phone (251) 843-5949

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Butler, AL, CCN 017090
  • Ochsner Choctaw General Hospital, Butler, AL, CCN 011304
  • Washington County Hospital Hospital, Chatom, AL, CCN 011300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-171406ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic PC CurrentSince Mar 25, 2024 Accepting new patients

Locations

16240 Highway 17
Toxey, AL 36921
Phone (251) 843-5949

Interoperability endpoints

  • Direct secure messaging: logan.thompson.1@28861.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1154182129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 HIGHWAY 17",
            "city": "TOXEY",
            "state": "AL",
            "postal_code": "369212489",
            "telephone_number": "251-843-5949",
            "fax_number": "833-941-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16240 HIGHWAY 17",
            "city": "TOXEY",
            "state": "AL",
            "postal_code": "369212489",
            "telephone_number": "251-843-5949",
            "fax_number": "833-941-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LOGAN",
        "middle_name": "DEES",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-171406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toxey, AL

Sources for this page

Verify at the official NPI Registry.