Active NPI
Legacy of Four Sisters LLC
- Driver
- Appleton, WI
National Provider Identifier
1699697847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Legal business name
- LEGACY OF FOUR SISTERS LLC
- Practice address
- N9351 S Lake Park Rd Unit 132
Appleton, WI 54915-9488 - Phone
- (920) 515-1534
- NPI assigned
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dyna Ingabire
- Title
- Director
- Phone
- (920) 515-1534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
N9351 S Lake Park Rd Unit 132
Appleton, WI 54915-9488
Mailing address
N9351 S Lake Park Rd Unit 132
Appleton, WI 54915-9488
Phone (920) 515-1534
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786233600000",
"number": "1699697847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N9351 S LAKE PARK RD UNIT 132",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159488",
"telephone_number": "920-515-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N9351 S LAKE PARK RD UNIT 132",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159488",
"telephone_number": "920-515-1534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY OF FOUR SISTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-29",
"last_updated": "2026-08-09",
"certification_date": "2026-08-09",
"status": "A",
"authorized_official_last_name": "INGABIRE",
"authorized_official_first_name": "DYNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "920-515-1534"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.