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SHANNON RAYE LOGUE
NPI 1134920218
Rehabilitation Practitioner in San Diego, CA

Active since March 24, 2025
PO BOX 710145, SAN DIEGO, CA 92171(619) 346-4020 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Raye Logue NPPES

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

SHANNON RAYE LOGUE (NPI 1134920218) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1134920218
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSHANNON RAYE LOGUE
Location AddressPO BOX 710145San Diego, CA 92171-0145
Mailing AddressPo Box 710145San Diego, CA 92171-0145 · (619) 346-4020
Phone(619) 346-4020
Sole ProprietorYes
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1134920218 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
PO BOX 710145, San Diego, CA 92171
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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.

SELENA COLLINS
Social Worker (Clinical)
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 508-4327
BELINDA OTIENO LCSW
Social Worker (Clinical)
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020
LINSONYDA OURNG
Marriage & Family Therapist
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020
JACQUELINE TURNER
Social Worker (Clinical)
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020
MICHAEL HEINEMAN
Social Worker (Clinical)
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 518-4779
ALEXANDRA ORPUT
Social Worker (Clinical)
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020
TARA NICOLE TANNA
Marriage & Family Therapist
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020
SHANTAL CURLENE BRIDGEWATER
Marriage & Family Therapist
PO BOX 710145
SAN DIEGO, CA 92171
San Diego County (619) 346-4020

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 Shannon Logue's NPI number?

The NPI number for Shannon Logue is 1134920218. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Shannon Logue located?

Shannon Logue practices at PO Box 710145, San Diego, CA 92171. The listed phone number is (619) 346-4020.

What is Shannon Logue'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 Shannon Logue was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.