Individual provider Active NPI

Heather Louise Logan, CRNP

  • Primary Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1629434246
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-138861 Issued in AL
Practice address
908 20TH St S
Community Care Building, 3Rd Floor
Birmingham, AL 35294-2050
Phone
(205) 934-6774
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-138861 AL
Women's Health Nurse Practitioner 363LW0102X 1-138861 AL
Primary Care Nurse Practitioner 363LP2300X 1-138861 AL Primary

Addresses

Primary practice location

908 20TH St S
Community Care Building, 3Rd Floor
Birmingham, AL 35294-2050

Mailing address

908 20TH St S
Community Care Building, Avrc
Birmingham, AL 35294-2050
Phone (205) 934-6774

Other practice location 1

3220 5th Ave S
Birmingham, AL 35222-2309
Phone (205) 934-1917

Other practice location 2

3220 5th Ave S
Birmingham, AL 35222-2309
Phone (205) 934-1917

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address heatherlogan@direct.uabmedicine.org Direct University of Alabama Hospital
Direct Messaging Address heatherlogan@direct.uabmedicine.org Direct University of Alabama Hospital

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

LicenseStateTypeSpecialty
1-138861ALMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1629434246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 20TH ST S",
            "address_2": "COMMUNITY CARE BUILDING, AVRC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942050",
            "telephone_number": "205-934-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 20TH ST S",
            "address_2": "COMMUNITY CARE BUILDING, 3RD FLOOR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942050",
            "telephone_number": "205-934-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352222309",
            "country_code": "US",
            "telephone_number": "205-934-1917",
            "fax_number": "205-975-6448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352222309",
            "country_code": "US",
            "telephone_number": "205-934-1917",
            "fax_number": "205-975-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "HEATHER",
        "middle_name": "LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-138861",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-138861",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-138861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heatherlogan@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3220 5th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352222309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heatherlogan@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3220 5th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352222309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.