Individual provider Active NPI

Logan Pace, MS, RD, LDN

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1265081400
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005180 Issued in NC
Practice address
3612 Shannon Rd Ste 103
Durham, NC 27707-6333
Phone
(919) 870-1001
Fax
(919) 516-0673
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L005180 NC Primary

Addresses

Primary practice location

3612 Shannon Rd Ste 103
Durham, NC 27707-6333

Mailing address

4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (919) 237-1337

Other practice location 1

539 Keisler Dr Ste 101
Cary, NC 27518-9320
Phone (919) 870-1001

Other practice location 2

8300 Health Park Ste 325
Raleigh, NC 27615-4731
Phone (919) 870-1001

Other practice location 3

1415 Broad St
Durham, NC 27705-3534
Phone (919) 870-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826003938 NC Practitioner - Registered Dietitian Or Nutrition Professional 8820415573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L005180NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Dec 1, 2025 Accepting new patients

Locations

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

3612 Shannon Rd
Ste 103
Durham, NC 27707
Phone (919) 870-1001

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1265081400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-237-1337",
            "fax_number": "866-538-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076333",
            "telephone_number": "919-870-1001",
            "fax_number": "919-516-0673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Keisler Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275189320",
            "country_code": "US",
            "telephone_number": "919-870-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Health Park Ste 325",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154731",
            "country_code": "US",
            "telephone_number": "919-870-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Broad St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053534",
            "country_code": "US",
            "telephone_number": "919-870-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "LOGAN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.