Individual provider Active NPI

Shelby Lynn Logsdon, FNP-C

  • Family Nurse Practitioner
  • Oxford, OH
National Provider Identifier
1598230856
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023888 Issued in OH
Practice address
500 Harris Dr
Oxford, OH 45056-3640
Phone
(513) 529-3000
Fax
(513) 529-1892
NPI assigned
Oct 12, 2018
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X APRN.CNP.023888 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023888 OH Primary
Internal Medicine Physician 207R00000X 34-00-6722 OH

Addresses

Primary practice location

500 Harris Dr
Oxford, OH 45056-3640

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-6470

Other practice location 1

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

Other identifiers 1

IdentifierTypeStateIssuer
0370761MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address slogsdon641829@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20191015003373 OH Practitioner - Nurse Practitioner 9335470764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth HF LLC Family CurrentSince Apr 11, 2022 Accepting new patients
Alliance Physicians Inc Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Trihealth HF LLC Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1391 Main St
Hamilton, OH 45013
Phone (513) 867-9000

3515 Siaron Way
Hamilton, OH 45011
Phone (513) 563-6222

8700 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 977-0079

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

421 S Campus Ave
Oxford, OH 45056
Phone (513) 529-1231

500 Harris Dr
Oxford, OH 45056
Phone (513) 529-3000

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: slogsdon292649@direct.trihealth.com
  • Direct secure messaging: slogsdon641829@direct.ketteringhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1598230856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-6470",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARRIS DR",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563640",
            "telephone_number": "513-529-3000",
            "fax_number": "513-529-1892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 Main St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450131077",
            "country_code": "US",
            "telephone_number": "513-867-9000",
            "fax_number": "513-785-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "APRN.CNP.023888",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023888",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-6722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370761",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slogsdon641829@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1391 Main St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1391 Main St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.