Individual provider Active NPI

Stephanie Legin, RD LDN

  • Registered Dietitian
  • Natrona Heights, PA
National Provider Identifier
1124448949
Registry record updated Apr 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000518 Issued in PA
Practice address
5021 Freeport Rd
Natrona Heights, PA 15065-1944
Phone
(724) 224-9500
NPI assigned
Apr 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN000518 PA Primary

Addresses

Primary practice location

5021 Freeport Rd
Natrona Heights, PA 15065-1944

Mailing address

105 Bayberry Dr
Sarver, PA 16055-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512002240 TN Practitioner - Registered Dietitian Or Nutrition Professional 9234595430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Clinic PLLCGroup PAC ID 6406244599, 7 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 650-0076

1843 Foreman Dr
Suite 201
Cookeville, TN 38501-0618
Phone (931) 650-0076

320 N Willow Ave
Cookeville, TN 38501-2337
Phone (931) 650-0076

427 N Willow Ave
Suite C
Cookeville, TN 38501-2354
Phone (931) 650-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN000518PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Clinic PLLC CurrentSince May 5, 2023 Accepting new patients
Advanced Health Care LLC PastSince Aug 29, 2021 Accepting new patients

Locations

427 N Willow Ave
Ste C
Cookeville, TN 38501
Phone (931) 559-5959

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24232/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.legin.1@24232.direct.athenahealth.com

Organizations & group practices 2

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": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397865600000",
    "number": "1124448949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BAYBERRY DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 FREEPORT RD",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651944",
            "telephone_number": "724-224-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.