Logan Riley Barnewolt

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1475 Raiders Way
Henderson, NV 89052-4604

Phone

(702) 686-5791

NPI assigned

May 2, 2025

Last updated

May 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1164211496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 TRINIDAD POINT CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441063",
            "telephone_number": "702-686-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 RAIDERS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524604",
            "telephone_number": "702-686-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEWOLT",
        "first_name": "LOGAN",
        "middle_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Barnard, ST
• Lindsay Barnes, ACNP
• Barbara Barnett
• Kathleen Barnett
• Maykala Rayon Barnett
• Dawn Howard Barney
• Jennifer Barnum, RDN, LD
• Elisa Baro
• Judith Carol Baron, BS
• Karren May Barona

• Athletic Trainer in Henderson, NV
• Providers in Henderson, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.