MR. JORDAN LEGENDRE (NPI# 1811436769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811436769 |
| Entity Type | Individual |
| Full Name | MR. JORDAN LEGENDRE |
| Practice Address |
2900 Weeping Willow Drive Apt. I Lynchburg VA 24501 |
| Mailing Address |
2900 Weeping Willow Dr Apt. I Lynchburg VA 24501-3944 |
| Practice Telephone | 5038661425 |
| Mailing Telephone | 5038661425 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2900 WEEPING WILLOW DRIVE APT. I |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| 1235590639 | United Energy Workers Healthcare, Corp | Home Health | 2604 Langhorne Rd, Lynchburg, VA 24501 | 2016-03-11 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1811520141 | Devan Thomas Wise | Student in an Organized Health Care Education/Training Program | 3100 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3972 | 2020-02-14 |
| 1689142010 | Karlie Marie Ennis | Student in an Organized Health Care Education/Training Program | 1900 Weeping Willow Dr Apt F, Lynchburg, VA 24501-3966 | 2018-11-03 |
| 1649718925 | William Samuel Beals | Student in an Organized Health Care Education/Training Program | 1328 Wood Rd, Lynchburg, VA 24502-2658 | 2017-02-07 |
| 1730627019 | Heather Mercy | Student in an Organized Health Care Education/Training Program | 15 Sedgebrook Ct, Apartment 301, Lynchburg, VA 24502-7263 | 2017-02-07 |
| 1811435191 | Taylor Mastin | Student in an Organized Health Care Education/Training Program | 153 New Towne Rd, Lynchburg, VA 24502-4577 | 2017-02-07 |
| 1356892483 | Dalton Barrier | Student in an Organized Health Care Education/Training Program | 350 Lake Forrest Rd, Lynchburg, TN 37352-5991 | 2016-10-24 |
| 1659730406 | Joshua Valentine | Student in an Organized Health Care Education/Training Program | 205 Towne Crier Rd, Lynchburg, VA 24502-4966 | 2016-02-22 |
| 1346865995 | Jared N Smith | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-10 |
| 1497370217 | Richard S Frazier | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-09 |
| Find all providers in LYNCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.