Individual provider Active NPI

Logan Butler, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1316634587
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33838 Issued in TN
Practice address
603 W Iris Dr
Nashville, TN 37204-3120
Phone
(615) 538-5981
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33838 TN Primary

Addresses

Primary practice location

603 W Iris Dr
Nashville, TN 37204-3120

Mailing address

123 Sparrow LN
Dover, TN 37058-5560
Phone (615) 613-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240805000497 TN Practitioner - Nurse Practitioner 4880131143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Healthcare, PLLCGroup PAC ID 5991065427, 7 clinicians

Practice addresses (Care Compare)

37 Sandstone Cir
Suite 92B
Jackson, TN 38305-2089
Phone (731) 265-6025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33838TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Now, LLC CurrentSince Jun 22, 2024 Accepting new patients
Impact Healthcare, PLLC CurrentSince Mar 31, 2025 Accepting new patients
Impact Healthcare, PLLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730

1816 Memorial Cir
Clarksville, TN 37043
Phone (615) 416-8010

37 Sandstone Cir
Ste 92B
Jackson, TN 38305
Phone (731) 265-6025

37 Sandstone Cir
Ste 92A
Jackson, TN 38305
Phone (731) 265-6025

4515 Harding Pike
Ste 327
Nashville, TN 37205
Phone (615) 416-8010

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1316634587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SPARROW LN",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370585560",
            "telephone_number": "615-613-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043120",
            "telephone_number": "615-538-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LOGAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-05-11",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.