Active NPI
Amy B Legghio, NP-C
- Adult Health Nurse Practitioner
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704210652
- Practice address
- 1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903 - Phone
- (586) 493-3440
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704210652 | MI | Primary |
Addresses
Primary practice location
1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903
Mailing address
1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704210652 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients |
Locations
8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847
5701 Bow Pointe Dr
Ste 280
Clarkston, MI 48346
Phone (248) 922-6830
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
1080 Harrington St
Ste 202
Mount Clemens, MI 48043
Phone (586) 493-3440
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1740275387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1285118083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 HARRINGTON ST STE 202",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 HARRINGTON ST STE 202",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432903",
"telephone_number": "586-493-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGHIO",
"first_name": "AMY",
"middle_name": "B",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704210652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.