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LEGACY NURSE PRACTITIONERS MOBILE HEALTHCARE LLC NPI 1326566738


NPI Information

NPI: 1326566738
Provider Name: LEGACY NURSE PRACTITIONERS MOBILE HEALTHCARE, LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 36D2157536

Address:
5797 BEECHCROFT RD STE F
COLUMBUS, OH
ZIP 43229
Phone: (614) 500-2500
Get Directions

LEGACY NURSE PRACTITIONERS MOBILE HEALTHCARE, LLC is a nurse practitioner in Columbus, OH. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. LEGACY NURSE PRACTITIONERS MOBILE HEALTHCARE, LLC NPI is 1326566738. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5797 BEECHCROFT RD STE F
COLUMBUS, OH
ZIP 43229-758
Phone: (614) 500-2500
Fax: (614) 369-3723

The provider's authorized official is Victoria Overcomer .
The authorized official title is Senior Nurse Practitioner and has the following contact phone number (614) 500-2500.

The CLIA number assigned to this NPI record is 36D2157536 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2017 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterNo
3261QP2300XClinic/CenterPrimary CareNo
4261QU0200XClinic/CenterUrgent CareNo
5363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10258578MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.