Individual provider Active NPI

Crystal L Logsdon, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1255885604
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9452609 Issued in FL
Practice address
45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone
(850) 290-8410
Fax
(866) 574-6391
NPI assigned
Aug 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 177560 GA
Acute Care Nurse Practitioner 363LA2100X ARNP9452609 FL
Nurse Practitioner 363L00000X ARNP9452609 FL Primary

Addresses

Primary practice location

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Mailing address

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone (850) 290-8410

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170710001936 FL Practitioner - Nurse Practitioner 8426327248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9452609FLMDAcute Care Nurse Practitioner
177560GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Beacon Medical LLC Nurse Practitioner CurrentSince Sep 24, 2024 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

45 Industrial Blvd
Ste C
Pensacola, FL 32503
Phone (251) 533-3509

Organizations & group practices 3

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": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1255885604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "177560",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9452609",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9452609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.