Individual provider Active NPI

Elizabeth Helen Logue, CRNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1730315508
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17212 Issued in CA
Practice address
3805 San Dimas St Ste B
Bakersfield, CA 93301-5725
Phone
(661) 327-8000
NPI assigned
Jun 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 701740 CA
Nurse Practitioner 363L00000X 17212 CA Primary

Addresses

Primary practice location

3805 San Dimas St Ste B
Bakersfield, CA 93301-5725

Mailing address

15202 Thunder Valley Rd
Bakersfield, CA 93314-7222
Phone (661) 345-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000292 CA Practitioner - Nurse Practitioner 6608912944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William N Bichai MD Inc.Group PAC ID 3173658101, 2 clinicians

Practice addresses (Care Compare)

3900 San Dimas St
Bakersfield, CA 93301-1458
Phone (661) 327-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17212CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William N Bichai MD Inc CurrentSince Aug 4, 2010 Accepting new patients
Omni Family Health Past Accepting new patients

Locations

3900 San Dimas St
Bakersfield, CA 93301
Phone (562) 577-1098

3805 San Dimas St
Ste B
Bakersfield, CA 93301
Phone (661) 326-9999

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1730315508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 THUNDER VALLEY RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933147222",
            "telephone_number": "661-345-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SAN DIMAS ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015725",
            "telephone_number": "661-327-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "ELIZABETH",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "701740",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.