Cindi Nicole Juarez-Logan, B.S

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7451 Issued in TX

Practice address

4200 Seabury Dr Apt Q131
Wichita Falls, TX 76308-3122

Phone

(209) 487-2767

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1326503558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SEABURY DR APT Q131",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083122",
            "telephone_number": "209-487-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SEABURY DR APT Q131",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083122",
            "telephone_number": "209-487-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ-LOGAN",
        "first_name": "CINDI",
        "middle_name": "NICOLE",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Jordan, M.ED.
• Jorge R Valencia M.D.
• Niki Jorgensen
• Jose Audie E Lim, M.D.,P.a.
• Journey With Tammy
• Maria Josefina Juarez, RN
• Gerline Julmonor-Exolus
• Kimberly G Junemann, DC
• Cody Ryan Justice, RN
• Chelsea May Jutila, RN

• Athletic Trainer in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.