Legendmed PLLC
NPI 1780359653 · Certified Registered Nurse Anesthetist · Goodyear, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legendmed PLLC is a Certified Registered Nurse Anesthetist organization in Goodyear, AZ (NPI 1780359653).
Provider details
- NPI number
- 1780359653
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kenneth Whiting, Owner(512) 201-9957
Specialties & taxonomies
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
- 2021-08-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Legendmed PLLC's NPI number?
- Legendmed PLLC's National Provider Identifier (NPI) is 1780359653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legendmed PLLC?
- Legendmed PLLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Legendmed PLLC located?
- Legendmed PLLC's practice location on file with NPPES is 140 N Litchfield Rd Ste 110, Goodyear, AZ 85338-1226.
- What is Legendmed PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legendmed PLLC is (602) 256-2525.
- Does Legendmed PLLC accept Medicare?
- Legendmed PLLC 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 Legendmed PLLC?
- The authorized official listed on Legendmed PLLC's NPPES record is Kenneth Whiting, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legendmed PLLC's NPI active?
- Yes — Legendmed PLLC's NPI (1780359653) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.