TINA MARIE LEGAULT AGNP NPI 1417602707

NPI Information

NPI: 1417602707
Provider Name: TINA MARIE LEGAULT, AGNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
12330 METCALF AVE STE 580
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 317-3230
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Tina Marie Legault, AGNP is an adult health nurse practitioner in Overland Park, KS with 3 years of experience. Tina Marie Legault, AGNP NPI is 1417602707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12330 METCALF AVE STE 580
OVERLAND PARK, KS
ZIP 66213-308
Phone: (913) 317-3230

The NPI 1417602707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 4/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	2022007298	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	TMP-160593	KANSAS	No
3	363LA2200X	Nurse Practitioner	Adult Health	5380970	KANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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