Legacy Family Healthcare Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LEGACY FAMILY HEALTHCARE INC

Practice address

974 Sunny Stroll Dr
Middleburg, FL 32068-3597

Phone

(850) 319-1491

NPI assigned

Mar 16, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christin Delaney, NP

Title

Owner

Phone

(850) 319-1491

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

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.

• Megan Elizabeth Green, APRN

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1154020022
  Medicare reassignment NPD
• Larry Robert Little, APRN

  • Primary Care Nurse Practitioner
  • St Augustine, FL
  • NPI 1134504079
  Medicare reassignment NPD
• Brenda Jo Luna, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1376814483
  Medicare reassignment NPD
• Shannon Jane O'Brien, F.N.P.

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
  • NPI 1245614114
  Medicare reassignment NPD
• Susan Gail Wolfe, ARNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1336689470
  Medicare reassignment NPD
• Christin Bagley

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1023616083
  Medicare reassignment

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1245988302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 SUNNY STROLL DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 SUNNY STROLL DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683597",
            "telephone_number": "850-319-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-319-1491",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lautzenheiser, LCSW
• Robert Pascual Lazarte, MSN
• Elisa Amber Lear-Rayborn
• Lisa Lee, LMHC
• Vershea Lee
• Kristen Leino, APRN
• Kelly J. Lemaire, MD
• Renee Ayala Lerner, DDS
• Cynthia Hailey Letterman, RN
• Jenalyn Victoria Licea, APRN

• Family Nurse Practitioner in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.