Kallie E Landry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

324145 Issued in LA

Practice address

726 N Acadia Rd Ste 2100
Thibodaux, LA 70301-5078

Phone

(985) 447-2645

Fax

(985) 447-2604

NPI assigned

Aug 25, 2020

Last updated

Mar 4, 2026By 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

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians

Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score

82.55 of 100Reported as group

Quality

67.62

Promoting interoperability

100

Improvement activities

40

Cost

71.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klandry783057@direct.ochsner.org

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.

• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310
  Medicare reassignment Care Compare group NPD
• Coolidge Physician Services LLC

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1609298843
  Medicare reassignment Care Compare group
• Thibodaux Regional Network Development Corporation

  dba Thibodaux Regional Network Development Corporation - Maternal Fetal

  • Maternal & Fetal Medicine Physician
  • Thibodaux, LA
  • NPI 1457684995
  NPD
• Thibodaux Regional Network Development Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
  • NPI 1770435851
  NPD
• Thibodaux Regional Network Development Corporation

  dba Thibodaux Regional Radiology

  • Diagnostic Radiology Physician
  • Thibodaux, LA
  • NPI 1467427336
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1114530722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 2100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015078",
            "telephone_number": "985-447-2645",
            "fax_number": "985-447-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 2100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015078",
            "telephone_number": "985-447-2645",
            "fax_number": "985-447-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KALLIE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "324145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rivet Landry, FNP-C
• Gretchen Landry, LCSW
• Jared Landry, M.D.
• Jeanne Hymel Landry, RN
• Juliet Jones Landry, LPC, RN
• Linda R Landry, RN, LAC, CCS
• Maddie Toups Landry, MS, CCC-SLP
• Nicholas Landry, BA
• Steven Lynn Landry, O.T.
• Travis J Landry, PA

• Physician Assistant in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.