Individual provider Active NPI

Ellen Kathleen Legrand, DNP, APN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1417781956
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ15123100 Issued in NJ
Practice address
1865 Route 70 E
Cherry Hill, NJ 08003-2005
Phone
(800) 789-7366
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ15123100 NJ Primary

Addresses

Primary practice location

1865 Route 70 E
Cherry Hill, NJ 08003-2005

Mailing address

1188 Jacksonville Rd
Columbus, NJ 08022-1922

Other names 1

  • Ellen Kathleen Danford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241111003427 PA Practitioner - Nurse Practitioner 1052845260 Reassigns benefits to 1 organization
I20241111003571 NJ Practitioner - Nurse Practitioner 1052845260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1865 Marlton Pike E
Penn Palliative Care Cherry Hill
Cherry Hill, NJ 08003-2005
Phone (856) 429-1519

1865 Route 70 E
Suite 220 Abramson Cancer Center Cherry Hi
Cherry Hill, NJ 08003-2013
Phone (856) 429-1519

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Nov 21, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
University of Penn-Medical Group CurrentSince Nov 21, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 21, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 21, 2024 Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5 Plainsboro Rd
Ste 540
Plainsboro, NJ 08536
Phone (609) 853-6590

200 Bowman Dr
Ste E125
Voorhees, NJ 08043
Phone (856) 336-2641

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

51 N 39th St
Ste 1
Philadelphia, PA 19104
Phone (215) 662-9801

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1417781956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 JACKSONVILLE RD",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032005",
            "telephone_number": "800-789-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "ELLEN",
        "middle_name": "KATHLEEN",
        "credential": "DNP, APN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15123100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DANFORD",
            "middle_name": "KATHLEEN",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.