Rebecca M. Logue, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP1554 Issued in AZ

Practice address

14973 W Bell Rd
Surprise, AZ 85374-3236

Phone

(623) 934-5600

Fax

(623) 934-5603

NPI assigned

Jan 14, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mulberry Medical LLCGroup PAC ID 2365954450, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

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.

• Mulberry Medical LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1831980986
  Medicare reassignment Care Compare group NPD
• Pain and Palliative Associates of Arizona

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1538723531
  Medicare reassignment NPD
• Valley Geriatric Associates PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1063127306
  Medicare reassignment NPD
• Family Care Providers of Arizona PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1669661161
  NPD (past)
• Plastic and Peripheral Nerve Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Sun Lakes, AZ
  • NPI 1760044325
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1962553347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687090",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743236",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746547",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Livingston, RN
• Paula Lizarazo
• Gregory C Lizer, LMT
• Trelisha Lochner
• Nicole M Lockwood, DPT
• Monique Ferreira Lomas, SLPA
• Tara Lindsay Looney, LPC
• Alheli Lopez Diaz, LCSW
• Lizeth Mahalaleel Lopez Gastelum, LICENCIADO
• Jenifer Valeria Lopez Meza

• Adult Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.