Beth Elaine Landis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

N-34045 Issued in ID

Practice address

1540 E Rivers End CT
Eagle, ID 83616-6390

Phone

(208) 939-6030

NPI assigned

Jul 12, 2005

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1013915164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E RIVERS END CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166390",
            "telephone_number": "208-939-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E RIVERS END CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166390",
            "telephone_number": "208-939-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BETH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-34045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma'Lady Jane Kynaston, PTA
• Ana Linda Laborde, AGNP-BC
• Kristy Nicole Lageson
• Deena M Lajoie, RD, LD
• Logan Marsh Lamprecht, PH.D., LCPC, M. COUN
• Sarah Mae Landry, MS, CCC-SLP
• Kimberly Anne Landsberg, MS, RDN, LD
• Randall Keith Langley, RPT, OCS
• Federica Lanza, LCSW
• Caitlin Larkin

• Family Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.