Active NPI
Nia Logan Ma, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 149835
- Practice address
- 9003 E Shea Blvd
Scottsdale, AZ 85260-6709 - Phone
- (480) 323-3000
- NPI assigned
- Nov 22, 2023
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 149835 | AZ | Primary |
Addresses
Primary practice location
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Mailing address
3824 E Sheila LN
Phoenix, AZ 85018-3665
Phone (443) 820-5662
Other names 1
- Miss Nia Logan Bourne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wake Forest University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149835 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesiology Consultants, Inc. | Current | Accepting new patients |
Locations
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
3535 N Scottsdale Rd
Scottsdale, AZ 85251
Phone (480) 583-3958
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Sonoran Crossing Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1154196798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 E SHEILA LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183665",
"telephone_number": "443-820-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9003 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606709",
"telephone_number": "480-323-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "NIA",
"middle_name": "LOGAN",
"name_prefix": "Mrs.",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-22",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "149835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIA",
"last_name": "BOURNE",
"middle_name": "LOGAN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.