Individual provider Active NPI

Devonte Leggett

  • Driver
  • Milwaukee, WI
National Provider Identifier
1033888581
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
L2401639230303 Issued in WI
Practice address
6558 N Beale St # Sy
Milwaukee, WI 53224-5208
Phone
(414) 739-5833
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X L2401639230303 WI Primary

Addresses

Primary practice location

6558 N Beale St # Sy
Milwaukee, WI 53224-5208

Mailing address

6558 N Beale St
Milwaukee, WI 53224-5208
Phone (414) 749-5833

Other identifiers 1

IdentifierTypeStateIssuer
H070127OtherWIDONT HAVE ONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HarmonyUnitedTransit Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L2401639230303WIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1033888581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 N BEALE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245208",
            "telephone_number": "414-749-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 N BEALE ST # SY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245208",
            "telephone_number": "414-739-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "DEVONTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-08-12",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "L2401639230303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONT HAVE ONE",
            "identifier": "H070127",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HarmonyUnitedTransit",
            "affiliation": "N",
            "endpointDescription": "Companys phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6558 N Beale St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532245208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.