Active NPI
Logan Tucker Hale, APRN-CNP
- Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 212916
- Practice address
- 1800 Buckner St Ste C120
Shreveport, LA 71101-4453 - Phone
- (318) 227-8899
- Fax
- (318) 425-3793
- NPI assigned
- Aug 5, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 212916 | LA | Primary |
Addresses
Primary practice location
1800 Buckner St Ste C120
Shreveport, LA 71101-4453
Mailing address
1800 Buckner St Ste C120
Shreveport, LA 71101-4453
Phone (318) 227-8899
Other practice location 1
2501 Greenwood Rd
Shreveport, LA 71103-3905
Phone (318) 631-1584
Other names 1
- Logan Tucker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Buckner St
Suite C120
Shreveport, LA 71101-4453
Phone (318) 227-8899
Hospital & facility affiliations
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
- Claiborne Memorial Medical Center
- Springhill Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212916 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Louisiana Nephrology, LLC | Current | Accepting new patients |
Locations
2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584
1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899
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 and National Provider Directory roles.
-
- Nephrology Physician
- Shreveport, LA
- NPI 1669416491
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Homer, LA
- NPI 1831183748
-
- General Acute Care Hospital
- Springhill, LA
- NPI 1275506115
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1487538955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BUCKNER ST STE C120",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014453",
"telephone_number": "318-227-8899",
"fax_number": "318-425-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BUCKNER ST STE C120",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014453",
"telephone_number": "318-227-8899",
"fax_number": "318-425-3793"
}
],
"practiceLocations": [
{
"address_1": "2501 Greenwood Rd",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711033905",
"country_code": "US",
"telephone_number": "318-631-1584",
"fax_number": "318-635-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALE",
"first_name": "LOGAN",
"middle_name": "TUCKER",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "212916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOGAN",
"last_name": "TUCKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.