Active NPI 1174649826 Individual Practitioner Female Practitioner

Tracy L Logan , LPN

Licensed Practical Nurse • Parma, OH

Professional Overview & Biography Verified Profile Summary

Tracy Logan, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Parma, OH. Practice services are available at 11090 SCHWAB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11090 Schwab Dr

Parma, OH 441305949

Telephone 4408882911

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Parma, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

60 Specialists

Practicing in Parma, OH (13034 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN 115279

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2687614 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2008

Registered at 11090 SCHWAB DR, PARMA, OH 441305949 (Tel: 4408882911)

📍

Updated Business Mailing Address April 09, 2008

Registered at 295 PRESERVE LN, MACEDONIA, OH 440561792 (Tel: 3304688592)

👤

Provider Name / Credentials Updated April 09, 2008

Recorded as TRACY LOGAN, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2008

Licensed Practical Nurse (License #PN 115279 in OH)

🟢

Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174649826

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2007

Last Update: April 09, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

295 Preserve Ln

Macedonia, OH 440561792

Phone: 3304688592

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.