Individual provider Active NPI

Masonya Krystle Legerme, RN

  • Registered Nurse
  • Farmingville, NY
National Provider Identifier
1114572054
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
700837 Issued in NY
Practice address
17 Firwood Dr
Farmingville, NY 11738-1103
Phone
(646) 353-7933
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 700837 NY Primary

Addresses

Primary practice location

17 Firwood Dr
Farmingville, NY 11738-1103

Mailing address

17 Firwood Dr
Farmingville, NY 11738-1103
Phone (646) 353-7933

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
700837NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1114572054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FIRWOOD DR",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381103",
            "telephone_number": "646-353-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FIRWOOD DR",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381103",
            "telephone_number": "646-353-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGERME",
        "first_name": "MASONYA",
        "middle_name": "KRYSTLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "700837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.