Logan Taylor

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

31062 Issued in TN

Practice address

2 Worth Cir Ste 2
Johnson City, TN 37601-4306

Phone

(423) 262-8006

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Living Water Vein Institute, P.C.

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1134782170
  NPD (past)

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1790433514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SPRINGVIEW DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORTH CIR STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014306",
            "telephone_number": "423-262-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Taylor, OD
• Katrina Alexandra Taylor
• Kristina Lynn Taylor
• Lesli A Taylor, MD
• Lindsay L Taylor, LPC
• Melissa Ann Taylor, PMHNP-BC
• Melissa Ann Taylor
• Melissa Kaye Taylor, PA-C
• Melissa Shiloh Taylor, LCSW
• Michelle L Taylor, FNP-BC

• Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.