Natalie Wolters Landry, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22732 Issued in TN

Practice address

2253 Chambliss Ave NW Ste 2012
Cleveland, TN 37311-3861

Phone

(423) 790-3055

Fax

(423) 790-1487

NPI assigned

Nov 1, 2018

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

Other names 1

• Natalie Wolters Landry Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1124595749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 SNAPDRAGON LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636580",
            "telephone_number": "706-819-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 2012",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-790-3055",
            "fax_number": "423-790-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Masters Way",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370758568",
            "country_code": "US",
            "telephone_number": "706-819-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "NATALIE",
        "middle_name": "WOLTERS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "LANDRY",
            "middle_name": "WOLTERS",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Piper Kyle, RBT
• Curteis J. Laboy, PT
• Herbert Lebron Lackey Jr., M.D.
• Micole Andreia Lafforgue, FNP-BC
• Shantel Rose Lafontaine, D.C.
• Robert Breck Lang, FNP
• Kelly Elizabeth Langford
• Jennilee Laramee
• Christina Marie Lassila, FNP-BC
• Lavanya Tammareddi

• Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.