Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan James Ridenour, CNP

Individual provider Family Nurse Practitioner · NPI 1104640473

Logan James Ridenour, CNP is a Nurse Practitioner in Lima, Ohio. Graduated from Ohio Medical University in 2024, 2 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Trained at
Ohio Medical University
Licensed in
OH
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

770 W High St Ste 350
Lima, OH 45801-5901
Phone: (419) 228-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0037652 (OH)

Record details

NPI number1104640473
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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