Individual provider Active NPI

Shannon Lee Legate, BS, RRT

  • Registered Respiratory Therapist
  • North Little Rock, AR
National Provider Identifier
1093572885
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
0789 Issued in AR
Practice address
606 Silverwood TRL
North Little Rock, AR 72116-5128
Phone
(501) 258-2788
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 0789 AR Primary

Addresses

Primary practice location

606 Silverwood TRL
North Little Rock, AR 72116-5128

Mailing address

606 Silverwood TRL
North Little Rock, AR 72116-5128
Phone (501) 258-2788

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
0789ARMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1093572885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SILVERWOOD TRL",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165128",
            "telephone_number": "501-258-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SILVERWOOD TRL",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165128",
            "telephone_number": "501-258-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGATE",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "BS, RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AR",
            "license": "0789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.