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

Active since July 17, 2025PECOS Enrolled
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: August 09, 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. He is enrolled in Medicare PECOS.

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
Phone(903) 949-7828
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Legrand is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. ANGELA A KNEISLY NP-C
Nurse Practitioner (Family)
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (816) 478-8113
AHMED ARHAM NIAZ MD
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (203) 543-9456
NATALIE HINTON PA-C
Physician Assistant (Medical)
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (816) 812-9147
DR. MUJAN VARASTEH KIA DO
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (916) 801-8978
PRANATHI CHANTI
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (410) 707-7836
ROMA BAI MD
Student in an Organized Health Care Education/Training Program
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (617) 778-4096
PSALM NGUYEN DANG MD
Surgery
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (479) 522-0072
ANAM RAHIM
Nurse Practitioner
19550 E 39TH ST S STE 310
INDEPENDENCE, MO 64057
Jackson County (913) 222-9779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb Legrand's NPI number?

The NPI number for Caleb Legrand is 1174415715. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Caleb Legrand located?

Caleb Legrand practices at 19550 E 39th St S Ste 310, Independence, MO 64057. The listed phone number is (903) 949-7828.

What is Caleb Legrand's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caleb Legrand enrolled in Medicare?

Yes. Caleb Legrand is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caleb Legrand was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.