Individual provider Active NPI

Rustie Chanelle Legarde

  • Health Educator
  • Missoula, MT
National Provider Identifier
1306287057
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
730 N 6TH St W Apt 2
730 North 6TH St West #2 Missoula, Mt 59802
Missoula, MT 59802-2845
Phone
(406) 493-2142
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

730 N 6TH St W Apt 2
730 North 6TH St West #2 Missoula, Mt 59802
Missoula, MT 59802-2845

Mailing address

PO Box 2373
730 North 6TH St West #2 Missoula Montana 59802
Missoula, MT 59806-2373
Phone (406) 493-2142

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

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1306287057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2373",
            "address_2": "730 NORTH 6TH ST WEST #2 MISSOULA MONTANA 59802",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598062373",
            "telephone_number": "406-493-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N 6TH ST W APT 2",
            "address_2": "730 NORTH 6TH ST WEST #2 MISSOULA, MT 59802",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022845",
            "telephone_number": "406-493-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARDE",
        "first_name": "RUSTIE",
        "middle_name": "CHANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.