Individual provider Active NPI

Tammy Jo Leggett

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1871066373
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000000 Issued in FL
Practice address
826 N Wild Olive Ave
Daytona Beach, FL 32118-3727
Phone
(828) 292-4987
Fax
(386) 226-5139
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000000000 FL Primary

Addresses

Primary practice location

826 N Wild Olive Ave
Daytona Beach, FL 32118-3727

Mailing address

826 N Wild Olive Ave
Daytona Beach, FL 32118-3727
Phone (828) 292-4987

Other identifiers 1

IdentifierTypeStateIssuer
2018087129OtherANCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240116001581 FL Practitioner - Nurse Practitioner 1658723697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E Granada Blvd
Suite 1
Ormond Beach, FL 32176-6634
Phone (386) 795-5366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000000FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leggett Primary Care Inc CurrentSince Jun 26, 2025 Accepting new patients

Locations

115 E Granada Blvd
Ste 1
Ormond Beach, FL 32176
Phone (386) 265-1441

533 N Nova Rd
Ste 115
Ormond Beach, FL 32174
Phone (386) 265-1441

Interoperability endpoints

  • Direct secure messaging: tammy.leggett@4375.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1871066373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N WILD OLIVE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183727",
            "telephone_number": "828-292-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N WILD OLIVE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183727",
            "telephone_number": "828-292-4987",
            "fax_number": "386-226-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "TAMMY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2018087129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.