Active NPI
Logan Garrett Smith, CRNA DNP
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- TMP155006
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-1227
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | TMP-155002 | KS | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 2011000224 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | TMP155006 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
6235 Ash St
Mission, KS 66205-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5528
2305 S 65 Hwy
Marshall, MO 65340-3702
2305 S Hwy 65
Marshall, MO 65340-3702
6601 Rockhill Rd
Kansas City, MO 64131-1118
Phone (816) 276-7850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TMP-155002 | KS | MD | Registered Nurse |
| 2011000224 | MO | MD | Critical Care Medicine Registered Nurse |
| 2001000224 | MO | MD | Pharmacist |
| TMP155006 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital Inc. | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
Interoperability endpoints
- lsmith375216@direct.saint-lukes.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
- Clinic/Center
- Marshall, MO
- NPI 1093731986
-
- Certified Registered Nurse Anesthetist
- Marshall, MO
- NPI 1386758654
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- Rural Health Clinic/Center
- Pilot Grove, MO
- NPI 1073279873
Hospital
-
- Rural Health Clinic/Center
- Marshall, MO
- NPI 1134752140
Hospital
-
- Rural Health Clinic/Center
- Fayette, MO
- NPI 1316140494
Hospital
-
- Multi-Specialty Clinic/Center
- Marshall, MO
- NPI 1346966454
Hospital
-
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
-
- Rural Health Clinic/Center
- Slater, MO
- NPI 1952611436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1467975441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 ASH ST",
"city": "MISSION",
"state": "KS",
"postal_code": "662053006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LOGAN",
"middle_name": "GARRETT",
"credential": "CRNA DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "TMP-155002",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2011000224",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "TMP155006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.