Kellie Logue, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN.0993708-CRNA Issued in CO

Practice address

214 S 4TH St
Kremmling, CO 80459-5065

Phone

(970) 887-5800

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

Yes

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 CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Denver Gastroenterology, P.C 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellie.logue.2@3461.direct.athenahealth.com

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.

• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Lone Tree, CO
  • NPI 1447364831

  CO

  Medicare reassignment Care Compare group NPD
• 444 Wellness LLC

  • Interventional Pain Medicine Physician
  • Granby, CO
  • NPI 1619600285

  CO

  Medicare reassignment NPD
• Arapahoe Gastroenterology Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1598115479

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Arkansas Valley Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • La Junta, CO
  • NPI 1609320514

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321

  CO

  Medicare reassignment NPD
• North Denver Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Boulder, CO
  • NPI 1902624422

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southern Colorado Crna Associates Inc

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1043538382

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD
• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Castle Rock, CO
  • NPI 1205432507
  NPD
• South Denver Gastroenterology, PC

  • Certified Registered Nurse Anesthetist
  • Englewood, CO
  • NPI 1871230789

  Nurse Anesthetist, Certified Registered

  NPD
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1902832603
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1275940496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "804590399",
            "telephone_number": "309-202-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "804595065",
            "telephone_number": "970-887-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 Cresthaven Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190800",
            "country_code": "US",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1068 Cresthaven Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190800",
            "country_code": "US",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Carson Ave",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502751",
            "country_code": "US",
            "telephone_number": "719-384-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "KELLIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "185347",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0993708-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kremmling Memorial Hospital District
• Kremmling Memorial Hospital District
• Kremmling Memorial Hospital District
• Kremmling Mercantile LLC
• Michelle Victoria Licha, CMT
• Michelle Lee Lupica, D.O.
• Stephanie Collins Miller, LCSW
• Meghan Rochelle Mont, D.O.
• Shannon Moreland, PTA
• Todd Odegaard

• All providers in Kremmling, CO
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.