Individual provider Active NPI

Cassandra Jane Legarde, CCC-SLP

  • Speech-Language Pathologist
  • Mountain Home, AR
National Provider Identifier
1174133193
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3411 Issued in AR
Practice address
965 West Rd
Mountain Home, AR 72653-4544
Phone
(870) 425-1288
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3411 AR Primary

Addresses

Primary practice location

965 West Rd
Mountain Home, AR 72653-4544

Mailing address

102 Lannys LN
Mountain Home, AR 72653-5287
Phone (870) 405-2440

Other practice location 1

618 N College St
Mountain Home, AR 72653-2406
Phone (870) 425-1251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clegarde@mhbombers.com 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

LicenseStateTypeSpecialty
3411ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1174133193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LANNYS LN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535287",
            "telephone_number": "870-405-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 WEST RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534544",
            "telephone_number": "870-425-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 N College St",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726532406",
            "country_code": "US",
            "telephone_number": "870-425-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGARDE",
        "first_name": "CASSANDRA",
        "middle_name": "JANE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clegarde@mhbombers.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "965 West Rd",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726534544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.