Logan Stephen Lussier, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

209050 Issued in CT

Practice address

56 Franklin St
Waterbury, CT 06706-1253

Phone

(203) 814-8168

NPI assigned

Jan 8, 2025

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1215747746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HAZEL DR UNIT 107",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101063",
            "telephone_number": "203-910-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061253",
            "telephone_number": "203-814-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "LOGAN",
        "middle_name": "STEPHEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CT",
            "license": "209050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey George Luddy, LCSW
• Awilda Altagracia Lugo Mendez, APRN
• Sky Anya Lukenberg, BSW
• Johnny Lum, PA-C
• Venetia Natasha Lush, B.S.
• Luxottica of America Inc.
• Bhupinder Singh Lyall, M.D.
• Audrey Lyles
• Dainette Lynch
• Sarianne Lynn, APRN

• Emergency Registered Nurse in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Emergency Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.