Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Kimberly Lacynthia Logan, APRN

Family Nurse Practitioner in Chatsworth, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417147463

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mrs. Kimberly Lacynthia Logan

Credential APRN

Sex Female

Practice address 1440 Jackson Lake Rd, Chatsworth, GA, 30705

Phone (904) 377-3301

Enumeration date Jul 26, 2007

Last updated in NPPES Sep 13, 2021

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 9166317 (FL) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 9166317 (FL) Primary

APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

Other identifiers

Identifier	Type	State	Issuer
001458200	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1417147463 active?

Yes, as of the latest NPPES snapshot, NPI 1417147463 is active (record last updated 2021-09-13).

How do I verify Kimberly Logan's NPI record?

Cross-check NPI 1417147463 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-13.