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LEGACY MEDICAL GROUP, LLC
NPI 1447621685
Nurse Practitioner in Taylorsville, UT

Active since October 14, 2015
1020 W ATHERTON DR, SUITE 220, TAYLORSVILLE, UT 84123(801) 833-0000(801) 833-0001 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Medical Group, Llc NPPES

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

LEGACY MEDICAL GROUP, LLC (NPI 1447621685) is a healthcare organization registered as a nurse practitioner in Taylorsville, Utah and active in the NPI registry since October 2015. The organization lists Kristina Mosley-carter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1447621685
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLEGACY MEDICAL GROUP, LLC
Location Address1020 W ATHERTON DR, SUITE 220Taylorsville, UT 84123-3470
Mailing Address1020 W Atherton Dr, Suite 220Taylorsville, UT 84123-3470 · (801) 833-0000 · Fax (801) 833-0001
Phone(801) 833-0000
Fax(801) 833-0001
Organization SubpartNo
Authorized OfficialKristina Mosley-carterExecutive Director · (801) 833-0000
Enumeration DateOctober 14, 2015
Last NPPES UpdateNovember 9, 2015
✔ NPI 1447621685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1020 W ATHERTON DR, Taylorsville, UT 84123
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Legacy Medical Group, LLC's NPI number?

The NPI number for Legacy Medical Group, LLC is 1447621685. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is Legacy Medical Group, LLC located?

Legacy Medical Group, LLC is located at 1020 W Atherton Dr Suite 220, Taylorsville, UT 84123. The listed phone number is (801) 833-0000.

What is Legacy Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Legacy Medical Group, LLC was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.