Casey Allene Landrum, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Tornball, TX
NPI 1043859192 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1043859192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP143818 (TX)
- Practice address
- 29214 Quinn Road
Tornball, TX 77375-4486 - Phone
- (713) 588-3333
- Fax
- (832) 834-6075
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326000933 | TX | Practitioner - Nurse Practitioner | 9638508641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Plus Clinic, PA | Current |
Accepting new patients |
Locations
3919 Fry Rd
Katy, TX 77449
Phone (281) 646-2273
Interoperability endpoints
- https://api.platform.athenahealth.com/17800/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP143818 | TX | Yes |
Addresses
Primary practice location
29214 Quinn Road
Tornball, TX 77375-4486
Mailing address
29214 Quinn Road
Tornball, TX 77375-4486
Phone (713) 588-3333
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.