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NICOLE LOGAN
NPI 1053048827
Rehabilitation Practitioner in Napa, CA

Active since August 02, 2022
1100 LINCOLN AVE STE 108, NAPA, CA 94558(415) 861-0828 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Logan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LOGAN (NPI 1053048827) is an individual rehabilitation practitioner in Napa, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1053048827
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameNICOLE LOGAN
Location Address1100 LINCOLN AVE STE 108Napa, CA 94558-4908
Mailing Address1100 Lincoln Ave Ste 108Napa, CA 94558-4908 · (415) 861-0828
Phone(415) 861-0828
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1053048827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1100 LINCOLN AVE STE 108, Napa, CA 94558
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAYNA KIRK
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (707) 255-3719
JESSICA PERAZZO
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
MELISSA CORDOVA
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
ASHELL WRIGHT
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
STACY WEDECK
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
AURORA AGGELEN
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
RICCO VASQUEZ
Community Health Worker
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828
BRIANA MARTINEZ
Day Training/Habilitation Specialist
1100 LINCOLN AVE STE 108
NAPA, CA 94558
Napa County (415) 861-0828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Logan's NPI number?

The NPI number for Nicole Logan is 1053048827. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Nicole Logan located?

Nicole Logan practices at 1100 Lincoln Ave Ste 108, Napa, CA 94558. The listed phone number is (415) 861-0828.

What is Nicole Logan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Nicole Logan was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.