IndividualActive
Logan Ellis, RDN LDN
NPI 1417605114 · Registered Dietitian · Susquehanna, PA
Logan Ellis, RDN LDN is a Registered Dietitian provider in Susquehanna, PA (NPI 1417605114).
Provider details
- NPI number
- 1417605114
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 86105199 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
2872 Turnpike St
Susquehanna, PA 18847-2771
Phone: (570) 853-3135
Street-level locationGet directions
Mailing address
176 Green Valley Rd
Hallstead, PA 18822-9544
Registry dates
- Enumerated
- 2022-03-13
- Last updated
- 2022-03-20
- Certified
- 2022-03-20
Frequently asked questions
- What is Logan Ellis's NPI number?
- Logan Ellis's National Provider Identifier (NPI) is 1417605114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Ellis's specialty?
- Logan Ellis is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Logan Ellis located?
- Logan Ellis's practice location on file with NPPES is 2872 Turnpike St, Susquehanna, PA 18847-2771.
- What is Logan Ellis's phone number?
- The practice phone number listed in the NPPES registry for Logan Ellis is (570) 853-3135.
- Is Logan Ellis's NPI active?
- Yes — Logan Ellis's NPI (1417605114) is active in the NPPES registry as of the last update on 2022-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.