STACEY M LETTIS LOGAN MD
NPI 1972765774
Pediatrics in Anchorage, AK

Q: What is Stacey Lettis Logan's NPI number?

The NPI number for Stacey Lettis Logan is 1972765774. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is Stacey Lettis Logan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 02, 2008

2925 DEBARR RD, SUITE 230, ANCHORAGE, AK 99508(907) 777-1800 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Stacey M Lettis Logan Md NPPES

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

STACEY M LETTIS LOGAN MD (NPI 1972765774) is an individual pediatrics provider in Anchorage, Alaska, licensed in Alaska (7772) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1972765774

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSTACEY M LETTIS LOGANCredential: MD

Location Address2925 DEBARR RD, SUITE 230Anchorage, AK 99508-2959

Mailing Address2925 Debarr Rd, Suite 230Anchorage, AK 99508-2959 · (907) 777-1800

Phone(907) 777-1800

Sole ProprietorYes

Enumeration DateJuly 2, 2008

Last NPPES UpdateJune 29, 2016

✔ NPI 1972765774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AK · 7772

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2925 DEBARR RD, Anchorage, AK 99508

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Other Identifiers 1

Medicaid1585092AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

DR. MICHELLE FORNELLI AU.D.

Audiologist

2925 DEBARR RD
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-4916

DR. JEFFREY CHARLES CONGDON MD

Surgery

2925 DEBARR RD
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-4869

MS. LYNNE PROSSICK LCSW

Social Worker (Clinical)

2925 DEBARR RD
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-4863

MR. TIMOTHY J. MANNEN ANP

Nurse Practitioner (Psychiatric/Mental Health)

2925 DEBARR RD
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-4854

STEVEN Y LIU M.D.

Internal Medicine (Hematology & Oncology)

2925 DEBARR RD, SUITE 300
ANCHORAGE, AK 99508

Anchorage Municipality (907) 279-3155

DR. TIMOTHY SIMPSON M.D.

Surgery

2925 DEBARR RD
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-4844

DR. CYNTHIA A JOE MD

Internal Medicine

2925 DEBARR RD, ALASKA VA HEALTHCARE SYSTEM (11)
ANCHORAGE, AK 99508

Anchorage Municipality (907) 257-5460

CATHERINE A BUTLER FNP

Nurse Practitioner (Family)

2925 DEBARR RD, SUITE 230
ANCHORAGE, AK 99508

Anchorage Municipality (907) 777-1800

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 Stacey Lettis Logan's NPI number?

The NPI number for Stacey Lettis Logan is 1972765774. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Stacey Lettis Logan located?

Stacey Lettis Logan practices at 2925 Debarr Rd Suite 230, Anchorage, AK 99508. The listed phone number is (907) 777-1800.

What is Stacey Lettis Logan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Stacey Lettis Logan accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Stacey Lettis Logan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Lettis Logan was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.