Legacy Primary Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4903 Issued in AZ

Legal business name

LEGACY PRIMARY HEALTHCARE

Practice address

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2998

Phone

(520) 226-4338

Fax

(866) 337-8432

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jameela Ameen, FNP

Title

Sole Member

Phone

(520) 971-7781

Specialties & licenses 1

Addresses

Tax ID family

Legacy Primary Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Primary Healthcare, LLC

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1447605274
  NPD tax ID

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1487010518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 W ROMERO POOLS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857435540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998",
            "telephone_number": "520-226-4338",
            "fax_number": "866-337-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PRIMARY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "AMEEN",
        "authorized_official_first_name": "JAMEELA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "520-971-7781",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee, DO
• Nanhee Lee, RPH
• Yvonne Denise Lee, O.D.
• Legacy Home Health Care of Southern Arizona, LLC
• Legacy Home Healthcare of Southern Arizona
• Lenzner Medical Services, LLC
• Toni M Leo, PHD
• Terra D Leon, RPH
• Leo Michael Lesueur, M.D.
• Philip Lesueur, MD

• Family Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.