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

Tiffany Logan

Individual provider Certified Registered Nurse Anesthetist · NPI 1508565219

Tiffany Logan is a Certified Registered Nurse Anesthetist (CRNA) in Tampa, Florida. Graduated from University of South Florida College of Medicine in 2023, 3 years ago. Practices with Lake Ozark Anesthesia and Associates, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone: (813) 974-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN9448351 (FL)

Record details

NPI number1508565219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Lake Ozark Anesthesia And Associates, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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