Vanessa Vance-Logan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

400 West Butler Road; Suite B-1
Mauldin, SC 29662

Phone

(864) 385-5113

Fax

(864) 676-9187

NPI assigned

Jun 11, 2014

Sex

Female

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1194138701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620567",
            "telephone_number": "864-385-5113",
            "fax_number": "864-676-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST BUTLER ROAD; SUITE B-1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "29662",
            "telephone_number": "864-385-5113",
            "fax_number": "864-676-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE-LOGAN",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.