Individual provider Active NPI

Karen Leigh Logan, AGNP

  • Primary Care Nurse Practitioner
  • Winterville, NC
National Provider Identifier
1376050591
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024175657 Issued in VA
Practice address
750 Fox Chase LN
Winterville, NC 28590-8579
Phone
(434) 660-2887
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1007321 TX
Primary Care Nurse Practitioner 363LP2300X 0024175657 VA Primary

Addresses

Primary practice location

750 Fox Chase LN
Winterville, NC 28590-8579

Mailing address

750 Fox Chase LN
Winterville, NC 28590-8579
Phone (434) 660-2887

Other practice location 1

320 Federal St
Lynchburg, VA 24504-2306
Phone (434) 947-5967

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karen.logan@552337174953988.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1376050591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FOX CHASE LN",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908579",
            "telephone_number": "434-660-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FOX CHASE LN",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908579",
            "telephone_number": "434-660-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Federal St",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245042306",
            "country_code": "US",
            "telephone_number": "434-947-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "KAREN",
        "middle_name": "LEIGH",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1007321",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024175657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.