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TYRESE LOGAN
NPI 1336948835
Day Training/Habilitation Specialist in Lincoln, NE

Active since March 10, 2025
9832 S 79TH ST, LINCOLN, NE 68516(303) 263-2614 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrese Logan NPPES

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

TYRESE LOGAN (NPI 1336948835) is an individual day training/habilitation specialist in Lincoln, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1336948835
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameTYRESE LOGAN
Location Address9832 S 79TH STLincoln, NE 68516-3846
Mailing Address220 Oakcreek Dr # Ne68528Lincoln, NE 68528-1587 · (402) 817-4959
Phone(303) 263-2614
Sole ProprietorNo
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1336948835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
9832 S 79TH ST, Lincoln, NE 68516
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Other Providers at the Same Location NPPES 4

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

MICHAEL ELLINGTON
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Lancaster County (303) 263-2614
MICHAELA ELLINGTON
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Lancaster County (303) 263-2614
SHEENA PRYOR
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Lancaster County (402) 217-6936
MERCI ELLINGTON
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Lancaster County (303) 263-2614

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 Tyrese Logan's NPI number?

The NPI number for Tyrese Logan is 1336948835. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Tyrese Logan located?

Tyrese Logan practices at 9832 S 79th St, Lincoln, NE 68516. The listed phone number is (303) 263-2614.

What is Tyrese Logan's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Tyrese Logan was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.