LEGACY PRIMARY HEALTHCARE
NPI 1487010518
Nurse Practitioner - Family in Sierra Vista, AZ

Active since January 05, 2016
77 CALLE PORTAL STE B260A, SIERRA VISTA, AZ 85635(520) 226-4338(866) 337-8432 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Primary Healthcare NPPES

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

LEGACY PRIMARY HEALTHCARE (NPI 1487010518) is a healthcare organization registered as a family in Sierra Vista, Arizona and active in the NPI registry since January 2016. The organization lists Jameela Ameen, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1487010518
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLEGACY PRIMARY HEALTHCARE
Location Address77 CALLE PORTAL STE B260ASierra Vista, AZ 85635-2998
Mailing Address7202 W Romero Pools PlTucson, AZ 85743-5540
Fax(866) 337-8432
Organization SubpartNo
Authorized OfficialJameela AmeenSole Member · (520) 971-7781
Enumeration DateJanuary 5, 2016
NPI 1487010518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP4903
77 CALLE PORTAL STE B260A, Sierra Vista, AZ 85635

Other Identifiers 1

Medicaid803226AZ

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

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
77 CALLE PORTAL STE B260A
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
77 CALLE PORTAL STE B260A
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
77 CALLE PORTAL STE B260A
SIERRA VISTA, AZ 85635
Anesthesiology
77 CALLE PORTAL STE B260A
SIERRA VISTA, AZ 85635
Internal Medicine
77 CALLE PORTAL STE B260A
SIERRA VISTA, AZ 85635
Anesthesiology
77 CALLE PORTAL STE B260A, SUITE B260A
SIERRA VISTA, AZ 85635

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 Primary Healthcare's NPI number?

The NPI number for Legacy Primary Healthcare is 1487010518. It was assigned to this organization in the NPPES registry on January 5, 2016.

Where is Legacy Primary Healthcare located?

Legacy Primary Healthcare is located at 77 Calle Portal Ste B260a, Sierra Vista, AZ 85635. The listed phone number is (520) 226-4338.

What is Legacy Primary Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Legacy Primary Healthcare was last updated on January 5, 2016. 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.