Organization Active NPI

Legarius

  • Primary Care Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1366976375
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704238009 Issued in MI
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

Updated by the provider on Apr 24, 2017

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301055371 MI
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.