Individual provider Active NPI

Diane Marie Legendre, RN

  • Case Manager/Care Coordinator
  • Enfield, NH
National Provider Identifier
1376765321
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
047387-21 Issued in NH
Practice address
37 King James Rd
Enfield, NH 03748-3817
Phone
(603) 206-4335
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 047387-21 NH
Case Manager/Care Coordinator 171M00000X 047387-21 NH Primary
Community Health Worker 172V00000X 026-0035334 VT

Addresses

Primary practice location

37 King James Rd
Enfield, NH 03748-3817

Mailing address

37 King James Rd
Enfield, NH 03748-3817
Phone (603) 206-4335

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
047387-21NHMDAddiction (Substance Use Disorder) Registered Nurse
026-0035334VTMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1376765321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KING JAMES RD",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483817",
            "telephone_number": "603-206-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KING JAMES RD",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483817",
            "telephone_number": "603-206-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDRE",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "047387-21",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NH",
            "license": "047387-21",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "VT",
            "license": "026-0035334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.