Logan Steven Rupnow

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

175 W Mark St
Winona, MN 55987-3384

Phone

(507) 457-5575

NPI assigned

Nov 7, 2022

Sex

Male

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

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1902514151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 TUMBLEWEED AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958554",
            "telephone_number": "262-305-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MARK ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873384",
            "telephone_number": "507-457-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "LOGAN",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason James Rosenbush, D.C.
• Elise Rothbauer
• John D Rowekamp, MD
• Madeline Maria Rueb, PA-C
• Caleb Ruesgen
• Mandy J Rupprecht
• Stacie Ruskell
• Jennifer Russell
• Talaya Ryan
• Stephanie Rybold

• Athletic Trainer in Winona, MN
• Providers in Winona, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.