Individual provider Active NPI

Terri Lyn Leggue-Guyette, RN

  • Registered Nurse
  • Canton, NY
National Provider Identifier
1912268434
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
506438 Issued in NY
Practice address
80 SH 310 Ste 1
Canton, NY 13617-1436
Phone
(315) 386-2189
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 506438 NY Primary

Addresses

Primary practice location

80 SH 310 Ste 1
Canton, NY 13617-1436

Mailing address

80 SH 310 Ste 1
Canton, NY 13617-1436
Phone (315) 386-2189

Other practice location 1

80 Sh 310 Ste 2
Canton, NY 13617-1436
Phone (315) 229-3457

Other practice location 2

80 State Hwy 310 Suite
Canton, NY 13617
Phone (315) 386-2189

Other names 1

  • Terri Lyn Lafond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
506438NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence County CurrentSince Oct 13, 2019 Accepting new patients
St Lawrence County PastSince Oct 13, 2019 Accepting new patients

Locations

80 State Highway 310
Ste 1
Canton, NY 13617
Phone (315) 386-2167

80 State Highway 310
Ste 2
Canton, NY 13617
Phone (315) 386-2325

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1912268434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SH 310 STE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171436",
            "telephone_number": "315-386-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SH 310 STE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171436",
            "telephone_number": "315-386-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Sh 310 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171436",
            "country_code": "US",
            "telephone_number": "315-229-3457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 State Hwy 310 Suite",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "13617",
            "country_code": "US",
            "telephone_number": "315-386-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGUE-GUYETTE",
        "first_name": "TERRI",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "506438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "LAFOND",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.