Organization Active NPI

Legacy Integrated Care PLLC

  • Adult Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1710897855
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
LEGACY INTEGRATED CARE PLLC
Practice address
5151 Meadow Ranch Pkwy Ste 103
Richmond, TX 77407-0172
Phone
(713) 591-6165
NPI assigned
Sep 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Mrs. Kristyn Noell Booth, NP
Title
Owner/Provider
Phone
(713) 591-6165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

5151 Meadow Ranch Pkwy Ste 103
Richmond, TX 77407-0172

Mailing address

5151 Meadow Ranch Pkwy
Richmond, TX 77407-0154
Phone (713) 591-6165

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1710897855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MEADOW RANCH PKWY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774070154",
            "telephone_number": "713-591-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MEADOW RANCH PKWY STE 103",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774070172",
            "telephone_number": "713-591-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY INTEGRATED CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_middle_name": "NOELL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "713-591-6165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.