Active NPI
Kyrsten R Legrant
- Speech-Language Pathologist
- Concord, NC
National Provider Identifier
1376357780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003911
- Practice address
- 845 Church St N Ste 2
Concord, NC 28025-4300 - Phone
- (980) 272-8577
- NPI assigned
- Feb 5, 2025
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30003911 | NC | Primary |
Addresses
Primary practice location
845 Church St N Ste 2
Concord, NC 28025-4300
Mailing address
11509 Crystal Pointe Dr Unit 206
Charlotte, NC 28215-7830
Phone (803) 521-4814
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30003911 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1376357780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11509 CRYSTAL POINTE DR UNIT 206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157830",
"telephone_number": "803-521-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 CHURCH ST N STE 2",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254300",
"telephone_number": "980-272-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRANT",
"first_name": "KYRSTEN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-05",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.