Corazon Fabian Legaspi

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

755358 Issued in WA

Practice address

1813 Davis Ave S
Renton, WA 98055-3313

Phone

(425) 336-9646

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1205581030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 DAVIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553313",
            "telephone_number": "425-336-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 DAVIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553313",
            "telephone_number": "425-336-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "CORAZON",
        "middle_name": "FABIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "755358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lee
• Tom Lee, DDS
• Toy Gee Lee, MD
• Traci May Lee, OD
• Brianne N Lefferts, PT
• Shauna Austin Leggett, PHARMD
• Jessica Michelle Leith, MS INTERN
• Nathan Lennert, PT, DPT
• Francisco Leos-Esquivel
• Julie Lerman

• Adult Care Home Facility in Renton, WA
• Providers in Renton, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.