Active NPI
Legarius
- Primary Care Nurse Practitioner
- Southfield, MI
National Provider Identifier
1366976375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704238009
- Legal business name
- LEGARIUS
- Practice address
- 23077 Greenfield Rd
Ste156
Southfield, MI 48075-3709 - Phone
- (313) 522-3939
- NPI assigned
- Apr 17, 2017
- 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
- Mrs. Danyelle Syvette Armour, NP
- Title
- Nurse Practitioner
- Phone
- (313) 522-3939
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301055371 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | 4704238009 | MI | Primary |
Addresses
Primary practice location
23077 Greenfield Rd
Ste156
Southfield, MI 48075-3709
Mailing address
6424 Summer CT
West Bloomfield, MI 48322-2234
Phone (313) 522-3939
Other names 1
- Legarius, LLC
National Provider Directory
National Provider DirectoryLocations
23077 Greenfield Rd
Ste 1
Southfield, MI 48075
Phone (313) 522-3939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1366976375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 SUMMER CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222234",
"telephone_number": "313-522-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23077 GREENFIELD RD",
"address_2": "STE156",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753709",
"telephone_number": "313-522-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGARIUS",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "ARMOUR",
"authorized_official_first_name": "DANYELLE",
"authorized_official_middle_name": "SYVETTE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "313-522-3939",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301055371",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704238009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legarius, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.