Kelly Lynn Legg, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Beaver, WV
NPI 1588091706 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1588091706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71128 (WV)
- Practice address
- 354 Commerce Dr
Beaver, WV 25813-8985 - Phone
- (304) 250-0150
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140522000904 | WV | Practitioner - Nurse Practitioner | 2062635998 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71128 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Rainbow Pediatrics, Inc | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71128 | WV | Yes |
Addresses
Primary practice location
354 Commerce Dr
Beaver, WV 25813-8985
Mailing address
354 Commerce Dr
Beaver, WV 25813-8985
Phone (304) 250-0150
Other names
- Kelly L Taylor
Other providers in Beaver, WV
- Lori Kinney
- Kimberly Dawn Knuckles
- Kroger Limited Partnership I
- Ricky Allen Lambert Jr.
- Linda Sue Lane
- Melinda Sue Lester
- Stephanie Lynn Lester
- Douglas Ivan Earnest Letteer
- Chiquita Lewis
- Alicia Ann Lilly-Adkins
All providers in Beaver, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.