Individual provider Active NPI

Keri W Landrieu, LOTR, CHT

  • Occupational Therapist
  • Metairie, LA
National Provider Identifier
1225038045
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10637 Issued in LA
Practice address
4228 Houma Blvd
Suite 600a
Metairie, LA 70006-3000
Phone
(504) 412-1600
Fax
(504) 780-8922
NPI assigned
Jul 22, 2005
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Z10637 LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Suite 600a
Metairie, LA 70006-3000

Mailing address

757 Walker St
New Orleans, LA 70124-3400
Phone (504) 282-6605

Other identifiers 1

IdentifierTypeStateIssuer
1886017MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129001083 LA Practitioner - Occupational Therapist in Private Practice 2567482003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z10637LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LMG, LLC CurrentSince Mar 1, 2017 Accepting new patients
LMG LLC Occupational Therapist CurrentSince Mar 1, 2017 Accepting new patients

Locations

105 Plantation Rd
Ste 110
Destrehan, LA 70047
Phone (504) 764-3001

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

3939 Houma Blvd
Ste 21
Metairie, LA 70006
Phone (504) 885-6464

Interoperability endpoints

  • Direct secure messaging: keri.landrieu.1@20631.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1225038045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WALKER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243400",
            "telephone_number": "504-282-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 600A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-412-1600",
            "fax_number": "504-780-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIEU",
        "first_name": "KERI",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LOTR, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886017",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.