Individual provider Active NPI

Carol Lynn Landry, CNM, FNP

  • Advanced Practice Midwife
  • Summerville, SC
National Provider Identifier
1154309490
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN350608L Issued in PA
Practice address
75 Springview LN
Summerville, SC 29485-8154
Phone
(843) 832-5096
Fax
(843) 832-5115
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN350608L PA Primary

Addresses

Primary practice location

75 Springview LN
Summerville, SC 29485-8154

Mailing address

75 Springview LN
Summerville, SC 29485-8154
Phone (843) 832-5096

Other practice location 1

1693 S Queen St
York, PA 17403-4609
Phone (717) 845-1621

Other practice location 2

5500 Front Street Suite 430
Nexton Office Building
Summerville, SC 29486
Phone (843) 970-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004000813 SC Practitioner - Certified Nurse Midwife (CNM) 9436201472

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN350608LPAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1154309490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858154",
            "telephone_number": "843-832-5096",
            "fax_number": "843-832-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858154",
            "telephone_number": "843-832-5096",
            "fax_number": "843-832-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1693 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034609",
            "country_code": "US",
            "telephone_number": "717-845-1621",
            "fax_number": "717-718-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Front Street Suite 430",
            "address_2": "Nexton Office Building",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "29486",
            "country_code": "US",
            "telephone_number": "843-970-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "RN350608L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.