Active NPI
Fred Campbell Lege, ARNP
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1932194875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 181292/5312
- Practice address
- 27 E Vermijo Ave Ste 16
Colorado Springs, CO 80903-2208 - Phone
- (710) 520-7080
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- 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 | RN 181292/5312 | CO | Primary |
Addresses
Primary practice location
27 E Vermijo Ave Ste 16
Colorado Springs, CO 80903-2208
Mailing address
27 E Vermijo Ave Ste 16
Colorado Springs, CO 80903-2208
Phone (710) 520-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9637356 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 181292/5312 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington State University | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Pullman, WA
- NPI 1962559054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1932194875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 E VERMIJO AVE STE 16",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809032208",
"telephone_number": "710-520-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 E VERMIJO AVE STE 16",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809032208",
"telephone_number": "710-520-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGE",
"first_name": "FRED",
"middle_name": "CAMPBELL",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "RN 181292/5312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9637356",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.