Active NPI
Leah W Legrand, FNP
- Family Nurse Practitioner
- Jackson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015006031
- Practice address
- 2130 E Jackson Blvd
Jackson, MO 63755-2907 - Phone
- (573) 243-8408
- Fax
- (573) 243-0445
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015006031 | MO | Primary |
Addresses
Primary practice location
2130 E Jackson Blvd
Jackson, MO 63755-2907
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151214001653 | MO | Practitioner - Nurse Practitioner | 3375606346 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Family Medical Clinic, LLC
Practice addresses (Care Compare)
24 N Sprigg St
Cape Girardeau, MO 63701-5526
Phone (573) 332-7992
Hospital & facility affiliations
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015006031 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Visiting Nurse Association of Southeast Missouri Inc | Family | Current | Accepting new patients |
| Missouri Mso LLC | Current | Accepting new patients | |
| Marathon Health, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700
2130 E Jackson Blvd
Jackson, MO 63755
Phone (573) 243-3115
1124 Independence Ave
Kennett, MO 63857
Phone (573) 888-5892
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Kennett, MO
- NPI 1295403202
Family, MO
-
- Rural Health Clinic/Center
- Jackson, MO
- NPI 1598186157
Nurse Practitioner
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
- Nurse Practitioner
- Poplar Bluff, MO
- NPI 1417511924
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1851765614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-5583",
"fax_number": "573-331-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 E JACKSON BLVD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552907",
"telephone_number": "573-243-8408",
"fax_number": "573-243-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND",
"first_name": "LEAH",
"middle_name": "W",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015006031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.