Active NPI
Cristine Logan
- Social Worker
- Debary, FL
National Provider Identifier
1316722713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2808 Enterprise Rd Ste 105
Debary, FL 32713-2753 - Phone
- (386) 259-5413
- NPI assigned
- Aug 25, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2808 Enterprise Rd Ste 105
Debary, FL 32713-2753
Mailing address
2808 Enterprise Rd Ste 105
Debary, FL 32713-2753
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1316722713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 ENTERPRISE RD STE 105",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 ENTERPRISE RD STE 105",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132753",
"telephone_number": "386-259-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "CRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.