Individual provider Active NPI

Courtney Beth Legendre, FNP

  • Family Nurse Practitioner
  • Rock Island, IL
National Provider Identifier
1003956871
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209005686 Issued in IL
Practice address
2750 11TH St
Rock Island, IL 61201-5216
Phone
(563) 336-3000
Fax
(563) 327-2102
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209005686 IL Primary

Addresses

Primary practice location

2750 11TH St
Rock Island, IL 61201-5216

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other identifiers 1

IdentifierTypeStateIssuer
209005686OtherILILLINOIS LICENSE

Other names 1

  • Courtney Beth Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070424000118 IL Practitioner - Nurse Practitioner 0749385508 Reassigns benefits to 1 organization
I20190318002154 IA Practitioner - Nurse Practitioner 0749385508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Community Health Care, Inc CurrentSince Jan 4, 2021 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Jan 4, 2021 Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

4101 John Deere Rd
Moline, IL 61265
Phone (309) 765-1600

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: clegendre635519@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1003956871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 11TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015216",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDRE",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "209005686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WOOD",
            "middle_name": "BETH",
            "credential": "APRN,BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.