Traci L. Logar, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA-051 Issued in WY

Practice address

615 Hamilton St
Douglas, WY 82633-2698

Phone

(307) 358-6187

NPI assigned

May 24, 2022

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

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 and National Provider Directory roles.

• Converse County School District #1

  • Local Education Agency (LEA)
  • Douglas, WY
  • NPI 1134866742
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1255079810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HAMILTON ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332698",
            "telephone_number": "307-358-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HAMILTON ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332698",
            "telephone_number": "307-358-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAR",
        "first_name": "TRACI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WY",
            "license": "SLPA-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifenet
• Lincare Inc.
• Ashley M Littleton, RD, CDE
• Michael Jeremey Littleton, COMMUNITY PARAMEDIC
• Alex D Locke
• Emily L Long, LPN
• Rebecca Maidl
• Charles Robert Mangus, P.T.
• Jessica Michelle Mangus, D.P.T.
• Robert B Mangus, DPT

• All providers in Douglas, WY
• Speech-Language Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.