What is Logan Black's NPI number?

Logan Black's National Provider Identifier (NPI) is 1053293647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Logan Black's specialty?

Logan Black is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Logan Black located?

Logan Black's practice location on file with NPPES is 8620 Covenant Ct, Lincoln, NE 68526-6146.

What is Logan Black's phone number?

The practice phone number listed in the NPPES registry for Logan Black is (402) 318-8363.

Is Logan Black's NPI active?

Yes — Logan Black's NPI (1053293647) is active in the NPPES registry as of the last update on 2025-07-23.

IndividualActive

Logan Black

NPI 1053293647 · Athletic Trainer · Lincoln, NE

Logan Black is a Athletic Trainer provider in Lincoln, NE (NPI 1053293647).

Provider details

NPI number: 1053293647
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Athletic TrainerPrimary2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8620 Covenant Ct

Lincoln, NE 68526-6146

Phone: (402) 318-8363

Street-level locationGet directions

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Mailing address