Tanya Denise Landrio, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006703 Issued in CA

Practice address

1127 Wilshire Blvd Ste 809
Los Angeles, CA 90017-3909

Phone

(303) 720-9974

NPI assigned

Jul 9, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184146466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SANTA FE AVE APT 583",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900133114",
            "telephone_number": "303-720-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 809",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173909",
            "telephone_number": "303-720-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIO",
        "first_name": "TANYA",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Imaging Surgical Center, LLC
• Angela Landoch, PT
• Michael J Landoch, PT
• Raphael Jeremiah Landovitz, MD
• Bruce C Landres, MD
• Catherine Landrum, PMHNP B-C
• Lisa Marie Landry-Taylor, PA
• Clayton Landry
• Dayna Marie Landry, MS, MPH, RD
• Holly Nichole Schwartz Landry, M.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.