JENNIFER L LOGAN RD, CDE
NPI 1639620768
Dietitian, Registered in Santa Rosa, CA

Q: What is Jennifer Logan's NPI number?

The NPI number for Jennifer Logan is 1639620768. It was assigned to this individual provider in the NPPES registry on October 24, 2016. The provider is also known as Jennifer L Hruby.

Q: What is Jennifer Logan'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 Jennifer Logan was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 24, 2016Accepts Medicare Assignment

1701 4TH ST STE 210, SANTA ROSA, CA 95404(707) 578-7530(707) 578-7533 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2018, Oct 24, 2016 (2 updates tracked since 2016).

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About Jennifer L Logan Rd, Cde NPPES

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

JENNIFER L LOGAN RD, CDE (NPI 1639620768) is an individual dietitian, registered in Santa Rosa, California and active in the NPI registry since October 2016. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1639620768

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJENNIFER L LOGANCredential: RD, CDE

Location Address1701 4TH ST STE 210Santa Rosa, CA 95404-3661

Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918

Phone(707) 578-7530

Fax(707) 578-7533

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 24, 2016

Last NPPES UpdateNovember 1, 20182 updates tracked since enumeration

✔ NPI 1639620768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

1701 4TH ST STE 210, Santa Rosa, CA 95404

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Other Names 1

Former Name (1)Jennifer L Hruby

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer L Logan Rd, Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901185230

PECOS Enrollment IDI20161109001633

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

337 services195 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.04 – $187.01

Typical copayment $0.00 (range $15.76 – $46.75)

Most-billed visit code NA

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1701 4TH ST STE 210
SANTA ROSA, CA 95404

Sonoma County (707) 578-7530

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 Jennifer Logan's NPI number?

The NPI number for Jennifer Logan is 1639620768. It was assigned to this individual provider in the NPPES registry on October 24, 2016. The provider is also known as Jennifer L Hruby.

Where is Jennifer Logan located?

Jennifer Logan practices at 1701 4th St Ste 210, Santa Rosa, CA 95404. The listed phone number is (707) 578-7530.

What is Jennifer Logan's specialty?

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

Is Jennifer Logan enrolled in Medicare?

Yes. Jennifer Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Logan was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.