Nicole Marie Logie, FNP-BC, WHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005738 Issued in NC

Practice address

799 Highland Ave
Winston Salem, NC 27101-4206

Phone

(336) 526-3500

Fax

(336) 526-3508

NPI assigned

Jul 30, 2012

Last updated

Aug 29, 2014By 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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• County of Forsyth, North Carolina

  dba Forsyth County North Carolina

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
  • NPI 1154475424
  Medicare reassignment

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1518213396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W 4TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013604",
            "telephone_number": "336-682-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 HIGHLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014206",
            "telephone_number": "336-526-3500",
            "fax_number": "336-526-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGIE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP-BC, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Alice Lofland, FNP
• Jennifer Davis Loflin
• Mary Anne Loftin, LPT, ATP
• Lee Loftis, PHARM.D.
• Ronald William Logan Jr., D.D.S.
• Chee Hong Loh, MD
• Caroline Loher
• Amy Leigh Loken, PHARMD, BCPS
• Anitha Lokesh, M.D.
• Lollies Lactation

• Family Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.

Verify at the official NPI Registry.