Legacy Advanced Nursing Practice Incorporated
NPI 1548905391 · Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Advanced Nursing Practice Incorporated is a Psychiatric/Mental Health Nurse Practitioner organization in Anaheim, CA (NPI 1548905391).
Provider details
- NPI number
- 1548905391
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tyisha Fletcher, Nurse Practitioner(310) 251-6727
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-04
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Legacy Advanced Nursing Practice Incorporated's NPI number?
- Legacy Advanced Nursing Practice Incorporated's National Provider Identifier (NPI) is 1548905391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Advanced Nursing Practice Incorporated?
- Legacy Advanced Nursing Practice Incorporated is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Legacy Advanced Nursing Practice Incorporated located?
- Legacy Advanced Nursing Practice Incorporated's practice location on file with NPPES is 710 N Euclid St Ste 208, Anaheim, CA 92801-4132.
- What is Legacy Advanced Nursing Practice Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Legacy Advanced Nursing Practice Incorporated is (714) 844-5804.
- Does Legacy Advanced Nursing Practice Incorporated accept Medicare?
- Legacy Advanced Nursing Practice Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Advanced Nursing Practice Incorporated?
- The authorized official listed on Legacy Advanced Nursing Practice Incorporated's NPPES record is Tyisha Fletcher, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Advanced Nursing Practice Incorporated's NPI active?
- Yes — Legacy Advanced Nursing Practice Incorporated's NPI (1548905391) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.