Active NPI
Carol Lynn Landry, CNM, FNP
- Advanced Practice Midwife
- Summerville, SC
National Provider Identifier
1154309490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN350608L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004000813 | SC | Practitioner - Certified Nurse Midwife (CNM) | 9436201472 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN350608L | PA | MD | Advanced 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.