Individual provider Active NPI

Hadassa Legrand, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1861868358
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88024 Issued in NM
Practice address
100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-1000
Phone
(000) 000-0000
NPI assigned
Aug 19, 2015
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14873-33 WI
Nurse Practitioner 363L00000X 10050511 OR
Family Nurse Practitioner 363LF0000X 88024 NM Primary
Family Nurse Practitioner 363LF0000X 95035783 CA
Family Nurse Practitioner 363LF0000X AP70004411 WA
Family Nurse Practitioner 363LF0000X RN288643 GA
Family Nurse Practitioner 363LF0000X TPAN1223 FL

Addresses

Primary practice location

100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-1000

Mailing address

PO Box 960434
Riverdale, GA 30296-0434

Other practice location 1

3750 N Henry Blvd
Stockbridge, GA 30281-3936
Phone (886) 682-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20220706003297 GA Practitioner - Nurse Practitioner 7719287572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10050511ORMDNurse Practitioner
14873-33WIMDNurse Practitioner
95035783CAMDFamily Nurse Practitioner
TPAN1223FLMDFamily Nurse Practitioner
88024NMMDFamily Nurse Practitioner
AP70004411WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Le Grand Health Alliance Family CurrentSince Apr 1, 2023 Accepting new patients
Athens Pulmonary and Allergy, P.C. PastSince Jun 30, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hadassa.legrand.1@30520.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1861868358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960434",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302960434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEPUTY DEAN MIERA DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871511000",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 N Henry Blvd",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302813936",
            "country_code": "US",
            "telephone_number": "886-682-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "HADASSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14873-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10050511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "88024",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035783",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70004411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN288643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.