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LOGAN NICOLE THOMAS
NPI 1639835895
Nurse Practitioner - Pediatrics in Johnson City, TN

Active since November 11, 2021
329 WESLEY ST, JOHNSON CITY, TN 37601(423) 631-0055 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Nov 11, 2021 (2 updates tracked since 2021).

About Logan Nicole Thomas NPPES

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

LOGAN NICOLE THOMAS (NPI 1639835895) is an individual pediatrics provider in Johnson City, Tennessee, licensed in Tennessee (30187) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1639835895
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLOGAN NICOLE THOMAS
Location Address329 WESLEY STJohnson City, TN 37601-1772
Mailing Address119 Epperson StAthens, TN 37303-3478 · (423) 745-7500
Phone(423) 631-0055
Sole ProprietorNo
Enumeration DateNovember 11, 2021
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1639835895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 30187
329 WESLEY ST, Johnson City, TN 37601
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Other Names 1

Former Name (1)Logan Crouch

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.

KIDS FIRST CHILDREN'S URGENT CARE
Pediatrics
329 WESLEY ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0055
DEANNA JO WILLIAMSON
Clinic/Center (Sleep Disorder Diagnostic)
329 WESLEY ST, SUITE 3
JOHNSON CITY, TN 37601
Washington County (423) 282-0093
MR. ALLEN R POWELL PA-C
Physician Assistant (Medical)
329 WESLEY ST, SUITE 1
JOHNSON CITY, TN 37601
Washington County (423) 282-3150
JACQUELINE GROOMS OLIVER PNP-AC
Nurse Practitioner (Pediatrics)
329 WESLEY ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0055

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 Logan Thomas's NPI number?

The NPI number for Logan Thomas is 1639835895. It was assigned to this individual provider in the NPPES registry on November 11, 2021. The provider is also known as Logan Crouch.

Where is Logan Thomas located?

Logan Thomas practices at 329 Wesley St, Johnson City, TN 37601. The listed phone number is (423) 631-0055.

What is Logan Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Logan Thomas was last updated on August 10, 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.