Active NPI
Linda Jean Logan, MASTER OF ARTS
- Audiologist
- Richfield, MN
National Provider Identifier
1689710956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5713
- Practice address
- 6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673 - Phone
- (612) 243-8999
- Fax
- (612) 869-3473
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1299 | FL | |
| Audiologist | 231H00000X | 5713 | MN | Primary |
Addresses
Primary practice location
6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673
Mailing address
6625 Lyndale Ave S Ste 300
Richfield, MN 55423-2491
Phone (612) 243-8999
Other practice location 1
8150 University Ave NE
Sam's Club Hearing Aid Center
Fridley, MN 55432-1864
Phone (612) 252-0167
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
| License | State | Type | Specialty |
|---|---|---|---|
| AY1299 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1689710956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 LYNDALE AVE S STE 300",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232491",
"telephone_number": "612-243-8999",
"fax_number": "612-869-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 LYNDALE AVE S STE 105",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232673",
"telephone_number": "612-243-8999",
"fax_number": "612-869-3473"
}
],
"practiceLocations": [
{
"address_1": "8150 University Ave NE",
"address_2": "Sam's Club Hearing Aid Center",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554321864",
"country_code": "US",
"telephone_number": "612-252-0167",
"fax_number": "763-792-6656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "LINDA",
"middle_name": "JEAN",
"credential": "MASTER OF ARTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1299",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "5713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.