Individual provider Active NPI

Logan Finegan, CPNP

  • Pediatric Nurse Practitioner
  • Concord, MA
National Provider Identifier
1164913182
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2306567 Issued in MA
Practice address
54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone
(978) 369-5391
NPI assigned
May 24, 2018
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2306567 MA Primary
Pediatric Registered Nurse 163WP0200X RN2306567 MA

Addresses

Primary practice location

54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137

Mailing address

5308 Taylor Pond LN
Bedford, MA 01730-4413

Other practice location 1

5308 Taylor Pond Ln
Bedford, MA 01730-4413
Phone (518) 527-5936

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LFinegan@emersonhosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201002000899 MA Practitioner - Nurse Practitioner 5799104295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2306567MAMDPediatric Registered Nurse

Interoperability endpoints

  • Direct secure messaging: lfinegan@emersonhosp.org
  • Direct secure messaging: loganfinegancnp@gfpeds.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1164913182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 TAYLOR POND LN",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017304413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5308 Taylor Pond Ln",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017304413",
            "country_code": "US",
            "telephone_number": "518-527-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINEGAN",
        "first_name": "LOGAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2306567",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "RN2306567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LFinegan@emersonhosp.org",
            "affiliation": "N",
            "address_1": "54 Baker Avenue Ext Ste 200",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017422137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.