Active NPI
Kathleen Logan, CRNP
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1316153042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN45366
- Practice address
- 801 17TH St NE
Community of Hope at Family Health and Birth Center
Washington, DC 20002-7200 - Phone
- (202) 398-5520
- NPI assigned
- May 16, 2007
- Last updated
- Jan 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN45366 | DC | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | 103-20694 | DC |
Addresses
Primary practice location
801 17TH St NE
Community of Hope at Family Health and Birth Center
Washington, DC 20002-7200
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103-20694 | DC | MD | Lactation Consultant (Non-RN) |
| RN45366 | DC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1316153042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 17TH ST NE",
"address_2": "COMMUNITY OF HOPE AT FAMILY HEALTH AND BIRTH CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027200",
"telephone_number": "202-398-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN45366",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "DC",
"license": "103-20694",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.