LEGACY WELLNESS PLLC – NPI #1912731712
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LEGACY WELLNESS PLLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1912731712 to LEGACY WELLNESS PLLC on August 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY WELLNESS PLLC below.

NPI Profile for
LEGACY WELLNESS PLLC

NPI Number
1912731712
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY WELLNESS PLLC
Primary location
19841 N 27TH AVE STE 204
PHOENIX, AZ 85027-4005
Phone: (623) 792-3584 Fax:
Mailing address
PO BOX 46
PEORIA, AZ 85380-0046
Phone: (623) 792-3584 Fax:
Organization Subpart
No
Authorized Official
KRISTIN KELLY
PROVIDER
Phone: (623) 792-3584
Updated
Certification Date
Aug 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.