Logan Redmond-Davila, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11026529 Issued in FL

Practice address

1830 N Main St
Bell, FL 32619-4713

Phone

(352) 463-1100

Fax

(352) 463-3924

NPI assigned

May 19, 2023

Last updated

May 25, 2023By 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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Healthcare at Home Home health agency, Gainesville, FL, CCN 108048

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Trenton, FL
  • NPI 1801826268
  Medicare reassignment Care Compare group NPD
• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Chiefland, FL
  • NPI 1336399260
  NPD
• Trenton Medical Center, Inc.

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Fleming Island, FL
  • NPI 1275220238
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Unity Home Health Services, LLC

  dba HCA Florida Healthcare at Home

  • Home Health Agency
  • Gainesville, FL
  • NPI 1265439491
  Care Compare affiliation

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1255022240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23343 NW COUNTY ROAD 236",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439669",
            "telephone_number": "386-454-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N MAIN ST",
            "city": "BELL",
            "state": "FL",
            "postal_code": "326194713",
            "telephone_number": "352-463-1100",
            "fax_number": "352-463-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND-DAVILA",
        "first_name": "LOGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026529",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9461247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maxwell, PT, DPT, CWT
• Vanessa Lynn Miller, F.N.P.
• New Anchor Healthcare
• Christine M Poole, LAT, ATC
• Ashley Powell, RDMS
• Joseph Kelly Remy, SDVOSB
• Selective Care Solutions of Florida
• Helana Therese Shanks, FNP-C
• Bruce Thomas, MD
• Trenton Medical Center, Inc (Palms Medical Group)

• Family Nurse Practitioner in Bell, FL
• Providers in Bell, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.