Hannah Logue

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2223 Issued in ID

Practice address

1410 S Broadway Ave
Boise, ID 83706-3706

Phone

(208) 949-3481

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoshone-Paiute Tribes

  dba Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment NPD
• Lullaby Waters PLLC

  • Occupational Therapist
  • Boise, ID
  • NPI 1114342755
  NPD
• Shoshone Paiute Tribes

  dba Owyhee Ambulance

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1497363097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063706",
            "telephone_number": "208-949-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063706",
            "telephone_number": "208-949-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Loera
• Rosalba Loera
• Kristin Jessica Lofland, MS, CCC-SLP
• Joni Grey Loftin, MSP-CCC
• Leah Logan
• Yrenka Lolli-Sunderlin, BCBA
• Lolo GRP.
• Rebecca Lomonaco
• Danielle Leann Lonborg, LMSW
• Vladimir Londono

• Occupational Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.