Active NPI
Melissa L Logue, DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1619986908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5170
- Practice address
- 2508 S College Ave
Fort Collins, CO 80525-1726 - Phone
- (970) 530-0420
- Fax
- (970) 223-2439
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5170 | CO | Primary |
Addresses
Primary practice location
2508 S College Ave
Fort Collins, CO 80525-1726
Mailing address
2508 S College Ave
Fort Collins, CO 80525-1726
Phone (970) 530-0420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5170 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1619986908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251726",
"telephone_number": "970-530-0420",
"fax_number": "970-223-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251726",
"telephone_number": "970-530-0420",
"fax_number": "970-223-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUE",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.