Active NPI
Joel Legawiec, LPN
- Licensed Practical Nurse
- Centerville, OH
National Provider Identifier
1639767411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.152755.MEDS-IV
- Practice address
- 9138 Woodstream LN
Centerville, OH 45458-9557 - Phone
- (325) 201-3070
- NPI assigned
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.152755.MEDS-IV | OH | Primary |
Addresses
Primary practice location
9138 Woodstream LN
Centerville, OH 45458-9557
Mailing address
9138 Woodstream LN
Centerville, OH 45458-9557
Phone (325) 201-3070
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Joel.legawiec@mtbcpm.com | Direct |
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 |
|---|---|---|---|
| LPN.152755.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1639767411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9138 WOODSTREAM LN",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454589557",
"telephone_number": "325-201-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9138 WOODSTREAM LN",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454589557",
"telephone_number": "325-201-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGAWIEC",
"first_name": "JOEL",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.152755.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Joel.legawiec@mtbcpm.com",
"affiliation": "N",
"endpointDescription": "Pediatric Associates",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9138 Woodstream Ln",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454589557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.