Individual provider Active NPI

Amy Leblanc Landry, N.P

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1093033417
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06089 Issued in LA
Practice address
220 Hebrard Blvd
Lafayette, LA 70504-6984
Phone
(337) 482-1293
Fax
(337) 482-1872
NPI assigned
May 10, 2010
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06089 LA Primary

Addresses

Primary practice location

220 Hebrard Blvd
Lafayette, LA 70504-6984

Mailing address

278 Sandpiper PL
Sunset, LA 70584-5411
Phone (337) 207-8809

Other identifiers 1

IdentifierTypeStateIssuer
2104438MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06089LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisiana at Lafayette CurrentSince Aug 17, 2025 Accepting new patients
Neurological Associates of Louisiana, L.L.C. Past Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner PastSince Mar 18, 2020 Accepting new patients

Locations

220 Hebrard Blvd
Lafayette, LA 70503
Phone (337) 482-1293

Organizations & group practices 3

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1093033417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 SANDPIPER PL",
            "city": "SUNSET",
            "state": "LA",
            "postal_code": "705845411",
            "telephone_number": "337-207-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HEBRARD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705046984",
            "telephone_number": "337-482-1293",
            "fax_number": "337-482-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "AMY",
        "middle_name": "LEBLANC",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104438",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.