Active NPI
Logan Graves
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1952969586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.20232544-SP
- Practice address
- 2080 Citygate Dr
Columbus, OH 43219-3591 - Phone
- (614) 445-3750
- NPI assigned
- May 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.20232544-SP | OH | Primary |
Addresses
Primary practice location
2080 Citygate Dr
Columbus, OH 43219-3591
Mailing address
554 Morrison Dr
Ashville, OH 43103-1599
Phone (740) 412-6860
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
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20232544-SP | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B-I-I-O, LTD | Past | Accepting new patients | |
| Educational Service Center of Central Ohio | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmentally Disabled Services Day Training Agency
- Columbus, OH
- NPI 1760828750
-
- Local Education Agency (LEA)
- Columbus, OH
- NPI 1164660023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1952969586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 MORRISON DR",
"city": "ASHVILLE",
"state": "OH",
"postal_code": "431031599",
"telephone_number": "740-412-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CITYGATE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193591",
"telephone_number": "614-445-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.20232544-SP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.