Organization Active NPI

Landy Headache & Esthetics, LLC

  • Neurology Physician
  • Tupelo, MS
National Provider Identifier
1033740089
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LANDY HEADACHE & ESTHETICS, LLC
Practice address
311 S Gloster St Ste 103
Tupelo, MS 38801-4747
Phone
(662) 401-6400
NPI assigned
Jan 29, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Stephen Hall Landy, MDNPI 1528029618
Title
Owner
Phone
(662) 401-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

311 S Gloster St Ste 103
Tupelo, MS 38801-4747

Mailing address

310 S Gloster St
Ste 103
Tupelo, MS 38801
Phone (662) 401-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1033740089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S GLOSTER ST",
            "address_2": "STE 103",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-401-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S GLOSTER ST STE 103",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014747",
            "telephone_number": "662-401-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDY HEADACHE & ESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LANDY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-401-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.