Individual provider Active NPI

Laura Legg

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1215612361
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34272 Issued in TN
Practice address
4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791
Phone
(615) 222-1400
NPI assigned
Jun 16, 2023
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34272 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511

Other practice location 1

1636 Hunters Glen Rd
San Angelo, TX 76901-5008
Phone (325) 747-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230926003448 TN Practitioner - Nurse Practitioner 1355795246 Reassigns benefits to 4 organizations
I20260312002292 TX Practitioner - Nurse Practitioner 1355795246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

200 Sanitarium Cir
Dayton, TN 37321-4635
Phone (423) 775-0771

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hickman Community Health Careservices CurrentSince Feb 28, 2025 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Health Providers of America, LLC CurrentSince Feb 12, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Aug 12, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Shannon Clinic CurrentSince Mar 5, 2026 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Feb 28, 2025 Accepting new patients

Locations

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

300 20th Ave N
Fl 9
Nashville, TN 37203

4928 Edmonson Pike
Ste 205
Nashville, TN 37211
Phone (615) 222-1400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

Interoperability endpoints

  • Direct secure messaging: laura.legg.1@7654.direct.athenahealth.com
  • Direct secure messaging: laura.legg.2@7654.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1215612361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114791",
            "telephone_number": "615-222-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 Hunters Glen Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769015008",
            "country_code": "US",
            "telephone_number": "325-747-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34272",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.