Tracy L Logan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 115279 Issued in OH

Practice address

11090 Schwab Dr
Parma, OH 44130-5949

Phone

(440) 888-2911

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1174649826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PRESERVE LN",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561792",
            "telephone_number": "330-468-8592",
            "fax_number": "330-468-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 SCHWAB DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441305949",
            "telephone_number": "440-888-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 115279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687614",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Litz, LISW-S
• Liveeasyot
• Trashai Jeree Lockhart
• Shoshana S Loerch, DC
• Richard Loesser
• Unique Keairra Logan
• Gary A. Long, COTA/L
• Nia Thekla Long, RN
• Longevity Clinical LTC Associates of Ohio, Inc.
• Susan Longville, MD

• Licensed Practical Nurse in Parma, OH
• Providers in Parma, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.