Tina Marie Logan, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704290093 Issued in MI

Practice address

950 Victors Way Ste 100
Ann Arbor, MI 48108-5217

Phone

(734) 926-4800

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Michigan

  • Ambulatory Family Planning Facility
  • Ann Arbor, MI
  • NPI 1366525370
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2026.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1669767935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20458 MIDWAY AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753811",
            "telephone_number": "248-469-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 VICTORS WAY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085217",
            "telephone_number": "734-926-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704290093",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704290093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loewe Medical Supply, Inc.
• Michele Christine Loewe, ND
• Lennart H Lofstrom, D.D.S., M.S.
• Deborah Marie Loftus, MOT,OTR
• Gregory William Logan, D.C.
• Whittney Monique Logan
• Kevin Yuen-Ho Loh, MD
• Vivian Tang Loh, RPH
• Kelly Louise Lohnes, PH.D.
• Elizabeth Angeline Lohr, PA-C

• All providers in Ann Arbor, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.