Individual provider Active NPI

Lawrence Joseph Logsdon Jr.

  • Registered Nurse
  • Akron, OH
National Provider Identifier
1861104655
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN290055 Issued in OH
Practice address
111 E Voris St
Akron, OH 44311-1513
Phone
(216) 314-3492
NPI assigned
Dec 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN290055 OH Primary

Addresses

Primary practice location

111 E Voris St
Akron, OH 44311-1513

Mailing address

111 E Voris St
Akron, OH 44311-1513
Phone (216) 314-3492

Other identifiers 1

IdentifierTypeStateIssuer
236MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SECURE Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN290055OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1861104655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E VORIS ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111513",
            "telephone_number": "216-314-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E VORIS ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111513",
            "telephone_number": "216-314-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN290055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SECURE",
            "affiliation": "N",
            "endpointDescription": "VA email system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "111 E Voris St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443111513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.