Tina Marie Logan, CNA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

362652 Issued in FL

Practice address

2958 Cypress St
Naples, FL 34112-5814

Phone

(443) 904-0215

NPI assigned

Sep 17, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1992475230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 CYPRESS ST",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125814",
            "telephone_number": "443-904-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 CYPRESS ST",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125814",
            "telephone_number": "443-904-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "362652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSING ASSISTANT",
            "identifier": "362652",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lockhart, DPT
• Sharie C. Lockhart, MD
• Angelica A Lodge, FNP
• Jessica Loerop, PHYSICIAN ASSISTANT
• Lindsey Loeschke
• Philip Logrippo, D.M.D.
• Hadley Lolli, OTR/L
• Greg Loman, D.C.
• Maryella K Loman, D.C.
• Chris Lombard

• Home Health Agency in Naples, FL
• Providers in Naples, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.