Logan Stackhouse, is a
Dietitian, Registered based in Mount Ayr, Iowa. Logan Stackhouse is licensed to practice in Florida (license number ND8320) and her current practice location is
2325 210th St, Mount Ayr, Iowa. She can be reached at her office (for appointments etc.) via phone at
(386) 507-5449.
NPI number for Logan Stackhouse is 1346961125 and her current mailing address is 2325 210th St, Mount Ayr, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346961125.
Healthcare Provider's Profile
Full Name | Logan Stackhouse |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2325 210th St, Mount Ayr, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346961125
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 09/08/2022
Medical Identifiers
Medical identifiers for Logan Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346961125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND8320 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Logan Stackhouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Logan Stackhouse, 2325 210th St, Mount Ayr, IA 50854-8891 Ph: (386) 507-5449 | Logan Stackhouse, 2325 210th St, Mount Ayr, IA 50854-8891 Ph: (386) 507-5449 |
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