Valerie Lynne Legacy, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003295A Issued in IN

Practice address

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Phone

(317) 880-0000

Fax

(317) 880-0565

NPI assigned

Jul 20, 2010

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Valerie L Kavanaugh Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riggs Community Health Center IncGroup PAC ID 2365432226, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health Frankfort Inc Hospital, Frankfort, IN, CCN 151316
• Witham Health Services Hospital, Lebanon, IN, CCN 150104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vlegacy13843@direct.eskenazihealth.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386660900
  Medicare reassignment Care Compare group
• Eskenazi Medical Group Inc

  • Adult Medicine Physician
  • Indianapolis, IN
  • NPI 1730451063
  Medicare reassignment NPD
• Cinqcare at Home PC

  dba Grace at Home

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1235736067
  Medicare reassignment
• Care Medical Practice PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1811658883

  IN

  Medicare reassignment
• Boone County Community Health Clinic, Inc

  • Community Health Clinic/Center
  • Lebanon, IN
  • NPI 1962681734
  NPD
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386876233
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Indiana University Health Frankfort Inc

  • Critical Access Hospital
  • Frankfort, IN
  • NPI 1346774270
  Care Compare affiliation
• Witham Memorial Hospital

  dba Witham Health Services

  • General Acute Care Hospital
  • Lebanon, IN
  • NPI 1699757401
  Care Compare affiliation

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1376856278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021715",
            "telephone_number": "317-924-6351",
            "fax_number": "317-927-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025187",
            "telephone_number": "317-880-0000",
            "fax_number": "317-880-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S Gopher Dr BLDG",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IN",
            "postal_code": "460416800",
            "country_code": "US",
            "telephone_number": "765-650-7875",
            "fax_number": "765-650-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 W Camp St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460521799",
            "country_code": "US",
            "telephone_number": "765-483-4469",
            "fax_number": "765-483-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGACY",
        "first_name": "VALERIE",
        "middle_name": "LYNNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003295A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28098488",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "IN",
            "license": "28098488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "28098488",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlegacy13843@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "1700 N Illinois St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "KAVANAUGH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxanna Lefort, MD
• Legacii Home Care Services, LLC
• Legacy Home Agency Inc
• Legacy Home Care Solutions LLC
• Legacy Home Healthcare Inc.
• Legal Prep Charter Academy Indiana Inc
• Kenneth Legault
• Bradford Samuel Legge, DPM
• Ivan Legoas, CRNA
• Daniel R Legrand, MD

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.