Laodaija Legrone

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704279717 Issued in MI

Practice address

2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190

Phone

(810) 235-2004

Fax

(810) 235-2841

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laodaija.legrone.1@28492.direct.athenahealth.com

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

• Balance Rehab LLC

  • Physical Therapy Clinic/Center
  • Flint, MI
  • NPI 1629783402
  NPD
• Spine and Joint Pain Managment Center,P.C.

  • Clinic/Center
  • Flint, MI
  • NPI 1376907956
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1639752637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2004",
            "fax_number": "810-235-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2004",
            "fax_number": "810-235-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30920 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480767738",
            "country_code": "US",
            "telephone_number": "248-647-7472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 Villa Linde Pkwy",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323411",
            "country_code": "US",
            "telephone_number": "810-733-5060",
            "fax_number": "810-733-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGRONE",
        "first_name": "LAODAIJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279717",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704279717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Hospice LLC
• Legacy Mobility Services
• Kaliyah Amarie Legardye
• Kleon Legardye
• Corwin Legleitner, LLP
• Argyro V Leighton
• Courtney Ann Leija, LMSW
• Mindi Leist
• Rebecca Lemay
• Dekobe Lemon

• Primary Care Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.