CALEB LEGRAND
NPI 1174415715
Student in an Organized Health Care Education/Training Program in Independence, MO

Active since July 17, 2025
19550 E 39TH ST S STE 310, INDEPENDENCE, MO 64057(903) 949-7828 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Caleb Legrand NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB LEGRAND (NPI 1174415715) is an individual student in an organized health care education/training program in Independence, Missouri and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174415715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALEB LEGRAND
Location Address19550 E 39TH ST S STE 310Independence, MO 64057-2306
Mailing Address19550 E 39th St S Ste 310Independence, MO 64057-2306
Sole ProprietorNo
Enumeration DateJuly 17, 2025
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1174415715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

19550 E 39TH ST S STE 310, Independence, MO 64057

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Physician Assistant (Medical)
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Nurse Practitioner
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Internal Medicine (Pulmonary Disease)
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174415715, enumerated as an "individual" on July 17, 2025.

The provider is located at 19550 E 39TH ST S STE 310 INDEPENDENCE, MO 64057 and the phone number is (903) 949-7828.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.