Amy A Logsdon, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

28155957A Issued in IN

Practice address

1002 Wishard Blvd
Indianapolis, IN 46202-2872

Phone

(317) 948-0061

Fax

(317) 948-7577

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy A Goodin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669080198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-948-0061",
            "fax_number": "317-948-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-948-0061",
            "fax_number": "317-948-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "IN",
            "license": "28155957A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE BOARD OF NURSING REGISTERED NURSE LICENSE",
            "identifier": "28155957A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amylogsd@iu.edu",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "The Health and Hospital Corporation of Marion County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication",
            "address_1": "1002 Wishard Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOODIN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre M Logan
• Madison Logan
• Patrick Clifford Logan, MD
• Theodore F Logan, MD
• Farzad Loghmani, MD
• Brenda Logsdon, CCC/SLP
• Jennifer Elizabeth Logsdon, RN
• Matthew Logsdon, MD
• Susan Diane Logsdon, RNC WHNP
• Lynn Ellen Logston, OTR

• Case Management Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Case Management Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.