Active NPI
Legacy Center for Birth and Wellness
- Birthing Clinic/Center
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- LEGACY CENTER FOR BIRTH AND WELLNESS
- Practice address
- 555 S Blackbird Roost
Flagstaff, AZ 86001-6296 - Phone
- (928) 779-6064
- Fax
- (928) 773-9694
- NPI assigned
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Harris, CPM
- Title
- Office Manager
- Phone
- (928) 779-6064
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
555 S Blackbird Roost
Flagstaff, AZ 86001-6296
Mailing address
555 S Blackbird Roost
Flagstaff, AZ 86001-6296
Phone (928) 779-6064
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2331141 | Legacy Center for Birth & Wellness | Provider-performed microscopy | Sep 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
555 S Blackbird Roost
Flagstaff, AZ 86001
Phone (919) 590-9050
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Flagstaff, AZ
- NPI 1568357945
-
- Midwife
- Flagstaff, AZ
- NPI 1518372960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1306730635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S BLACKBIRD ROOST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860016296",
"telephone_number": "928-779-6064",
"fax_number": "928-773-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S BLACKBIRD ROOST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860016296",
"telephone_number": "928-779-6064",
"fax_number": "928-773-9694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY CENTER FOR BIRTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "928-779-6064",
"authorized_official_credential": "CPM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.