Organization Active NPI

Legacy Healthcare Providers

  • Gerontology Nurse Practitioner
  • Little Elm, TX
National Provider Identifier
1164988309
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
LEGACY HEALTHCARE PROVIDERS
Practice address
2517 Heatherdale Dr
Little Elm, TX 75068-6825
Phone
(214) 940-2180
Fax
(214) 975-1721
NPI assigned
Feb 12, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Beatrice Langat, NPNPI 1477063857
Title
Ceo
Phone
(469) 855-3497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Gerontology Nurse Practitioner 363LG0600X NU Primary

Addresses

Primary practice location

2517 Heatherdale Dr
Little Elm, TX 75068-6825

Mailing address

2517 Heatherdale Dr
Little Elm, TX 75068-6825
Phone (214) 940-2180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1164988309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HEATHERDALE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686825",
            "telephone_number": "214-940-2180",
            "fax_number": "214-975-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HEATHERDALE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686825",
            "telephone_number": "214-940-2180",
            "fax_number": "214-975-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "LANGAT",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-855-3497",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.