Nicholas John Legrand, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2018026636 Issued in MO

Practice address

1111 N Glenstone Ave
Springfield, MO 65802-2125

Phone

(573) 579-8968

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1922581867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 S NATIONAL AVE APT 712",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102653",
            "telephone_number": "573-579-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N GLENSTONE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022125",
            "telephone_number": "573-579-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2018026636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Lee, MA, LPC
• Shang-Chiun Lee, MD
• Steven Michael Lee Jr., PSY
• Sunghoon Lee, M.D.
• Michael J T Leftwich, PHD, LP
• Darren L. Lehnert, MD
• Carla Marie Leightner, DNP, FNP, APRN
• Tanya Lemaster
• David L Lemmon, PSYD, LPC
• Samantha Lemoine, MS, LPC

• All providers in Springfield, MO
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.