Stephannie Lou Legarretta, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1074209 Issued in TX

Practice address

13840 Villa Vista Ave
Horizon City, TX 79928-2321

Phone

(915) 252-8199

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pablo Casares MD PAGroup PAC ID 0547594962, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEFDBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JFDFDD

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.

• Pablo Casares MD PA

  dba Best Physician Group

  • Nephrology Physician
  • El Paso, TX
  • NPI 1770048175

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gateway Internal Medicine Associates PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1891964730

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1801537790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 VILLA VISTA AVE",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282321",
            "telephone_number": "915-252-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 VILLA VISTA AVE",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282321",
            "telephone_number": "915-252-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARRETTA",
        "first_name": "STEPHANNIE",
        "middle_name": "LOU",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1074209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Jurado, DPT
• Eukyeom Kim
• Bryce Kinnaird
• Martha Irma Lafarelle, L.AC.
• Leading Edge Emergency Physicians, Inc (Leep El Paso)
• Edna Leon, LVN
• Linton Social Services LLC
• Dora Venessa Lopez I, FNP
• Erika Denise Lopez, NNP-BC
• Louis E. Zuniga, PT PC

• Gerontology Nurse Practitioner in Horizon City, TX
• Providers in Horizon City, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.