Individual provider Active NPI

Clarissa Gay Legardye

  • Registered Nurse
  • Richardson, TX
National Provider Identifier
1184113367
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
835208 Issued in TX
Practice address
2000 E Arapaho Rd Apt 2201
Richardson, TX 75081-3188
Phone
(972) 839-3620
NPI assigned
May 3, 2018
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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 835208 TX Primary

Addresses

Primary practice location

2000 E Arapaho Rd Apt 2201
Richardson, TX 75081-3188

Mailing address

2000 E Arapaho Rd Apt 2201
Richardson, TX 75081-3188
Phone (972) 839-3620

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
835208TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1184113367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E ARAPAHO RD APT 2201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813188",
            "telephone_number": "972-839-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E ARAPAHO RD APT 2201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813188",
            "telephone_number": "972-839-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARDYE",
        "first_name": "CLARISSA",
        "middle_name": "GAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "835208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.