Melissa Logos, CMF

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

9138 Carl Legett Rd Ste C
Gulfport, MS 39503-6262

Phone

(228) 896-3688

Fax

(228) 896-3688

NPI assigned

Oct 8, 2018

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

Practice roles

Locations

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.

• Four Sisters LLC

  • Prosthetic/Orthotic Supplier
  • Gulfport, MS
  • NPI 1477199883
  NPD Authorized official
• Foundations Lingerie & Swim L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Spanish Fort, AL
  • NPI 1467157172
  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1497220321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 CARL LEGETT RD STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036262",
            "telephone_number": "228-896-3688",
            "fax_number": "228-896-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 CARL LEGETT RD STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036262",
            "telephone_number": "228-896-3688",
            "fax_number": "228-896-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGOS",
        "first_name": "MELISSA",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M. Lobrano, M.D.
• Julianne Nicole Locke
• Candice Sheryl Locklear, OTR/L
• Janis Marcell Locklin, MS.,CCC-SLP
• Briana Lofton, LMSW
• Phoenix Long
• Raymond A Long, M.D.
• Sherita Long
• Anthony Loper, PTA
• Anthony William Lopez Jr., DC

• Mastectomy Fitter in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Mastectomy Fitter in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.