Haley Durrette Logan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556746 Issued in VA

Practice address

593 Aberdeen Rd
Hampton, VA 23661

Phone

(757) 825-1100

NPI assigned

Sep 24, 2009

Last updated

Oct 16, 2012By 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 2

Addresses

Other names 1

• Dr. Haley Durrette Lauckem Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Performance Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1497951743
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1548594435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS",
            "address_2": "STE. 200",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-825-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ABERDEEN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23661",
            "telephone_number": "757-825-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "HALEY",
        "middle_name": "DURRETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556746",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L1605238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "LAUCKEM",
            "middle_name": "DURRETTE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pearl Monique Lockett, FNP-C
• Terri Gillis Lockhart, MD
• Karri Elizabeth Lockwood
• Therese Berenguer Loe, FNP-C
• Ashley Marie Logan, SLPD, CCC-SLP, BCS-S
• Cari Ann Logsdon, RN
• Taylor Lombardo, PSYD
• Angel Lopez Nuno, LMSW
• Miguel Lopez
• Susan Lum Lopresti, M.D.

• Chiropractor in Hampton, VA
• Providers in Hampton, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.