Active NPI
Devonte Leggett
- Driver
- Milwaukee, WI
National Provider Identifier
1033888581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- L2401639230303
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H070127 | Other | WI | DONT HAVE ONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L2401639230303 | WI | MD | Driver |
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.