Active NPI
Christopher Logan, FNP-C
- Primary Care Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1639710148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP143207
- Practice address
- 11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442 - Phone
- (210) 957-1693
- NPI assigned
- Oct 6, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP143207 | TX | Primary |
Addresses
Primary practice location
11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442
Mailing address
10210 Windstone CRK
San Antonio, TX 78254-6032
Phone (210) 379-7195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143207 | TX | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570320000000",
"number": "1639710148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10210 WINDSTONE CRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782546032",
"telephone_number": "210-379-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11345 ALAMO RANCH PKWY STE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782536442",
"telephone_number": "210-957-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "CHRISTOPHER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-06",
"last_updated": "2019-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP143207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.