Individual provider Active NPI

Logan Nicholas Marshall, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Forest City, NC
National Provider Identifier
1215672811
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30000549 Issued in NC
Practice address
671 Oak St Ste 2
Forest City, NC 28043-2440
Phone
(828) 287-1001
Fax
(828) 229-3332
NPI assigned
Apr 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30000549 NC Primary

Addresses

Primary practice location

671 Oak St Ste 2
Forest City, NC 28043-2440

Mailing address

131 Cider Mill Dr Apt 302
Hendersonville, NC 28792-7587
Phone (828) 748-0532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30000549NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Words Speech Therapy LLC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients

Locations

671 Oak St
Ste 2
Forest City, NC 28043
Phone (828) 287-1001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1215672811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CIDER MILL DR APT 302",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927587",
            "telephone_number": "828-748-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 OAK ST STE 2",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432440",
            "telephone_number": "828-287-1001",
            "fax_number": "828-229-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LOGAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.