Active NPI
Tracy Dawn Logsdon, CPNP
- Pediatric Nurse Practitioner
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3311592
- Practice address
- 160 E Redstone Ave
Crestview, FL 32539-5348 - Phone
- (850) 689-0555
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3311592 | FL | Primary |
Addresses
Primary practice location
160 E Redstone Ave
Crestview, FL 32539-5348
Mailing address
160 E Redstone Ave
Crestview, FL 32539-5348
Phone (850) 689-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3311592 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Enrique Lujan | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Fort Walton Beach, FL
- NPI 1144679168
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Pediatrics Physician
- Crestview, FL
- NPI 1629102389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1699789271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E REDSTONE AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395348",
"telephone_number": "850-689-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E REDSTONE AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395348",
"telephone_number": "850-689-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "TRACY",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "3311592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.