Active NPI
Rebecca Ann Legan
- Foster Care Agency
- Shakopee, MN
National Provider Identifier
1528493806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 1041320-1-AFC
- Practice address
- 1512 Sussex CT
Shakopee, MN 55379-7041 - Phone
- (612) 743-5452
- NPI assigned
- Sep 5, 2013
- Last updated
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 1041320-1-AFC | MN | Primary |
Addresses
Primary practice location
1512 Sussex CT
Shakopee, MN 55379-7041
Mailing address
1512 Sussex CT
Shakopee, MN 55379-7041
Phone (612) 743-5452
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 |
|---|---|---|---|
| 1041320-1-AFC | MN | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1528493806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 SUSSEX CT",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553797041",
"telephone_number": "612-743-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 SUSSEX CT",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553797041",
"telephone_number": "612-743-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGAN",
"first_name": "REBECCA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MN",
"license": "1041320-1-AFC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.