Individual provider Active NPI

Ashley Dawn Logan, APRN

  • Family Nurse Practitioner
  • Albany, KY
National Provider Identifier
1386064228
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008541 Issued in KY
Practice address
105 Foothills Ave
Albany, KY 42602-1090
Phone
(606) 387-6631
Fax
(606) 387-8121
NPI assigned
Apr 18, 2014
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008541 KY Primary

Addresses

Primary practice location

105 Foothills Ave
Albany, KY 42602-1090

Mailing address

105 Foothills Ave
Albany, KY 42602-1090
Phone (606) 387-6631

Other identifiers 1

IdentifierTypeStateIssuer
3008541OtherKYNURSING LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150406000874 KY Practitioner - Nurse Practitioner 8224356159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Foothills Ave
Albany, KY 42602-1090
Phone (606) 387-6631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc Family Current Accepting new patients
William Calvin Powell, MD PSC CurrentSince Oct 1, 2017 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients

Locations

105 Foothills Ave
Albany, KY 42602
Phone (606) 387-6631

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1386064228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FOOTHILLS AVE",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021090",
            "telephone_number": "606-387-6631",
            "fax_number": "606-387-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FOOTHILLS AVE",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021090",
            "telephone_number": "606-387-6631",
            "fax_number": "606-387-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LIC",
            "identifier": "3008541",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, KY

Sources for this page

Verify at the official NPI Registry.