Mary J Logsdon, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

145910 Issued in MO

Practice address

927 Broadway St
Quincy, IL 62301-2719

Phone

(217) 224-6423

Fax

(217) 214-5888

NPI assigned

Apr 3, 2009

Last updated

Jul 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary J Chapel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Dalcor Inc

  dba Midwest Cancer Screening

  • Clinical Medical Laboratory
  • Springfield, MO
  • NPI 1508874595
  NPD (past)

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1174765291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-224-6423",
            "fax_number": "217-214-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-224-6423",
            "fax_number": "217-214-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "145910",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHAPEL",
            "middle_name": "J",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Mitchell Little, AGAC-NP
• Living Hope Counseling Center, PC
• Richard B Livingston, RPH
• David W. Lockhart, M.D.
• Craig Loertscher, LCSW
• Emery Joy Lomelino, PHARMD
• Cecelia A Long, OT
• Kylie Long, COTA
• Shirley K Longlett, LCPC
• Christopher Loos, PHARMD

• Family Nurse Practitioner in Quincy, IL
• Providers in Quincy, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.