LOGAN LEE ELLIS RDN LDN
NPI 1417605114
Dietitian, Registered in Susquehanna, PA

Q: What is Logan Ellis's NPI number?

The NPI number for Logan Ellis is 1417605114. It was assigned to this individual provider in the NPPES registry on March 13, 2022.

Q: What is Logan Ellis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Ellis was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 13, 2022

2872 TURNPIKE ST, SUSQUEHANNA, PA 18847(570) 853-3135 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Logan Lee Ellis Rdn Ldn NPPES

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

LOGAN LEE ELLIS RDN LDN (NPI 1417605114) is an individual dietitian, registered in Susquehanna, Pennsylvania, licensed in Pennsylvania (86105199) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1417605114

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLOGAN LEE ELLISCredential: RDN LDN

Location Address2872 TURNPIKE STSusquehanna, PA 18847-2771

Mailing Address176 Green Valley RdHallstead, PA 18822-9544 · (607) 372-5336

Phone(570) 853-3135

Sole ProprietorNo

Enumeration DateMarch 13, 2022

Last NPPES UpdateMarch 20, 2022

NPPES CertifiedMarch 20, 2022

✔ NPI 1417605114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in PA · 86105199

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2872 TURNPIKE ST, Susquehanna, PA 18847

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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.

SARA MIRRA MS, RD, LDN

Dietitian, Registered