Individual provider Active NPI

Codi Danielle Leggett, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1033685748
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139200 Issued in TX
Practice address
100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Phone
(936) 441-9680
Fax
(936) 539-9685
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 AP139200 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821

Mailing address

100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Phone (936) 441-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190220002106 TX Practitioner - Nurse Practitioner 2961740790 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Family Medicine, PLLC CurrentSince Aug 24, 2025 Accepting new patients
Scarborough Family Medicine PLLC Current Accepting new patients
Adnan Afzal, MD PA Family CurrentSince Mar 22, 2021 Accepting new patients

Locations

603 S Conroe Medical Dr
Ste 110
Conroe, TX 77304
Phone (936) 760-9900

508 Medical Center Blvd
Ste 350
Conroe, TX 77304
Phone (936) 760-9900

100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680

129 Vision Park Blvd
Ste 306
Shenandoah, TX 77384
Phone (936) 256-3883

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEBDA/Endpoint/GDEBDA

Organizations & group practices 3

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1033685748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "CODI",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.