Individual provider Active NPI

Kristy Landry, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1013238997
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103782 Issued in FL
Practice address
708 Goodlette Rd
Suite 302,3Rd Floor
Naples, FL 34102-5644
Phone
(239) 231-7260
Fax
(239) 567-3667
NPI assigned
Jun 15, 2010
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103782 FL Primary

Addresses

Primary practice location

708 Goodlette Rd
Suite 302,3Rd Floor
Naples, FL 34102-5644

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

15455 Collier Blvd Unit 101
Naples, FL 34119-7874
Phone (239) 231-7258

Other practice location 2

1064 Goodlette Rd N
Naples, FL 34102-5449
Phone (239) 649-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000856 FL Practitioner - Physician Assistant 4789717281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

708 Goodlette Rd
Suite 302
Naples, FL 34102-5644
Phone (239) 231-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103782FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Physician Assistant CurrentSince Dec 8, 2025 Accepting new patients
American Oncology Partners, P.a. CurrentSince Dec 8, 2025 Accepting new patients
American Oncology Partners, P.a. CurrentSince Dec 8, 2025 Accepting new patients
Lower Keys Inpatient Services, LLC Past Accepting new patients
Comprehensive Hospitalist Services of Naples LLC Past Accepting new patients

Locations

2848 Center Pointe Dr
Fl 2
Fort Myers, FL 33916
Phone (239) 318-6284

15455 Collier Blvd
Unit 101
Naples, FL 34119
Phone (239) 231-7258

708 Goodlette Rd
Ste 302
Naples, FL 34102
Phone (239) 231-7260

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1013238997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 GOODLETTE RD",
            "address_2": "SUITE 302,3RD FLOOR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025644",
            "telephone_number": "239-231-7260",
            "fax_number": "239-567-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15455 Collier Blvd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341197874",
            "country_code": "US",
            "telephone_number": "239-231-7258",
            "fax_number": "239-567-3658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 Goodlette Rd N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025449",
            "country_code": "US",
            "telephone_number": "239-649-1186",
            "fax_number": "239-649-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KRISTY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.