Legacy First Health Group

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4633 Issued in TN

Legal business name

LEGACY FIRST HEALTH GROUP

Practice address

4600 Stonelea PL
La Grange, KY 40031-6706

Phone

(502) 381-9053

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff A Beaty, PHD

Title

Chief Operating Officer

Phone

(502) 381-9053

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Allen Beaty, D.H.ED., LMSW

  • Social Worker
  • La Grange, KY
  • NPI 1013255702
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1710376744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 STONELEA PL",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 STONELEA PL",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316706",
            "telephone_number": "502-381-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FIRST HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "502-381-9053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Lantz, CCC-SLP
• Jonathan D Laverty, CRNA
• Michael R Lawrence, MD
• Roberta Lynn Lawson
• Kellie Leanhart
• Eric Lesch
• Jennifer D Lewter
• Emma Lichtefeld
• Shannon Liebegott
• Alicia Liter

• Social Worker in La Grange, KY
• Providers in La Grange, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.