Active NPI
Terri Kathryn Logsdon
- Foster Care Agency
- Port Saint Lucie, FL
National Provider Identifier
1629235544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Practice address
- 197 SW Twig Ave
Port Saint Lucie, FL 34983-3031 - Phone
- (772) 340-1130
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Primary |
Addresses
Primary practice location
197 SW Twig Ave
Port Saint Lucie, FL 34983-3031
Mailing address
197 SW Twig Ave
Port Saint Lucie, FL 34983-3031
Phone (772) 340-1130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306255 00 | Medicaid | FL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1629235544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 SW TWIG AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833031",
"telephone_number": "772-340-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 SW TWIG AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833031",
"telephone_number": "772-340-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "TERRI",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2306255 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.