Active NPI
Ursula Desha Logan, FNP
- Family Nurse Practitioner
- West Memphis, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005049
- Practice address
- 900 N 7TH St
West Memphis, AR 72301-2001 - Phone
- (870) 735-3842
- NPI assigned
- Apr 5, 2017
- Last updated
- Oct 13, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22291 | TN | |
| Family Nurse Practitioner | 363LF0000X | A005049 | AR | Primary |
| Registered Nurse | 163W00000X | R081506 | AR |
Addresses
Primary practice location
900 N 7TH St
West Memphis, AR 72301-2001
Mailing address
900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3842
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ursula.logan@eastarkan.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Arkansas Family Health Center, Inc
Practice addresses (Care Compare)
216 Arkansas St
Earle, AR 72331-2217
Phone (870) 792-7676
417 W Main St
Trumann, AR 72472-3116
Phone (870) 483-1025
605 N 2ND St
Healthy Partners
Blytheville, AR 72315-2034
Phone (870) 532-6001
900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R081506 | AR | MD | Registered Nurse |
| A005049 | AR | MD | Family Nurse Practitioner |
| 22291 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Arkansas Family Health Center, Inc | Current | Accepting new patients | |
| East Arkansas Family Health Center, Inc | Current | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Current | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Current | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Current | Accepting new patients | |
| East Arkansas Family Health Center, Inc | Current | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Current | Accepting new patients | |
| East Arkansas Family Health Center, Inc | Past | Accepting new patients |
Locations
605 N 2nd St
Blytheville, AR 72315
Phone (870) 532-6001
216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676
513 Porter St
Helena, AR 72342
Phone (870) 817-0122
102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977
417 W Main St
Trumann, AR 72472
Phone (870) 483-1025
417 W Main St
#B
Trumann, AR 72472
Phone (870) 483-7039
900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842
Interoperability endpoints
- ursula.logan@eastarkan.eclinicaldirectplus.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trumann Family Health Center
- Federally Qualified Health Center (FQHC)
- Trumann, AR
- NPI 1578889622
-
dba Healthy Partners
- Federally Qualified Health Center (FQHC)
- Blytheville, AR
- NPI 1659506095
-
- Federally Qualified Health Center (FQHC)
- West Memphis, AR
- NPI 1871599613
-
- Federally Qualified Health Center (FQHC)
- Lepanto, AR
- NPI 1922139062
-
dba Earle Family Health Center
- Federally Qualified Health Center (FQHC)
- Earle, AR
- NPI 1912370198
-
dba East Arkansas Family Health Center South
- Federally Qualified Health Center (FQHC)
- West Memphis, AR
- NPI 1033997275
-
dba East Arkansas Family Health Center-Marvell
- Federally Qualified Health Center (FQHC)
- Marvell, AR
- NPI 1508379249
-
dba Marion School District School Based Health Center
- Federally Qualified Health Center (FQHC)
- Marion, AR
- NPI 1437638038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1760915813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N 7TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012001",
"telephone_number": "870-735-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N 7TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012001",
"telephone_number": "870-735-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "URSULA",
"middle_name": "DESHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22291",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005049",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R081506",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ursula.logan@eastarkan.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "900 N 7th St",
"city": "West Memphis",
"state": "AR",
"country_code": "US",
"postal_code": "723012001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.