Active NPI
Logan Pace, MS, RD, LDN
- Registered Dietitian
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005180 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | Current | 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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
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.