Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer L Logan, RD, CDE

Individual provider Registered Dietitian · NPI 1639620768

Jennifer L Logan, RD, CDE is a Registered Dietitian OR Nutrition Professional in Santa Rosa, California. Qualified in 1995, 31 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
31
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

1701 4th St Ste 210
Santa Rosa, CA 95404-3661
Phone: (707) 578-7530
Fax: (707) 578-7533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1639620768
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDE
Sole proprietorNo
NPI enumeratedOctober 24, 2016
Last updated in NPPESNovember 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa