Individual provider Active NPI

Dana Michelle Logsdon, APRN

  • Adult Health Nurse Practitioner
  • Lebanon, KY
National Provider Identifier
1891965927
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3005073P Issued in KY
Practice address
108 Cemetery Rd
Lebanon, KY 40033-1827
Phone
(270) 692-2569
NPI assigned
Mar 5, 2008
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3005073 KY
Adult Health Nurse Practitioner 363LA2200X 3005073P KY Primary

Addresses

Primary practice location

108 Cemetery Rd
Lebanon, KY 40033-1827

Mailing address

727 W. Main St.
Lebanon, KY 40033
Phone (270) 692-2569

Other identifiers 1

IdentifierTypeStateIssuer
7100236800MedicaidKY

Other names 1

  • Ms. Dana Michelle Newton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221202001238 KY Practitioner - Nurse Practitioner 8729224811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Cemetery Rd
Lebanon, KY 40033-1827
Phone (270) 692-2569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005073KYMDAdult Health Nurse Practitioner
3005073PKYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Physician Practices, LLC CurrentSince Aug 19, 2022 Accepting new patients
Spring View Physician Practices, LLC Current Accepting new patients
Spring View Physician Practices LLC CurrentSince Aug 19, 2022 Accepting new patients

Locations

108 Cemetery Rd
Lebanon, KY 40033
Phone (270) 692-2569

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: dana.logsdon.1@30070.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1891965927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W. MAIN ST.",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40033",
            "telephone_number": "270-692-2569",
            "fax_number": "270-692-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CEMETERY RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331827",
            "telephone_number": "270-692-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3005073",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3005073P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100236800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "NEWTON",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.