Bryan Landrie

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14696-33 Issued in WI

Practice address

2460 S 81St St
West Allis, WI 53219-1730

Phone

(920) 309-5480

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Interoperability endpoints

• Direct secure messaging: bryan.landrie@811393367080964.direct.elationemr.com

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1255104972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 S 81ST ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191730",
            "telephone_number": "920-309-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S 81ST ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191730",
            "telephone_number": "920-309-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIE",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14696-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Peters Lalios, M.A., CCC-A
• Anna M Lamnari, MD
• Laura Ann Lamont, CAPSW, LCSW
• Stacy Lamp, PHARMD
• Barbara Lamping, M.D.
• Ellen Lang, MS, OTR
• Kelly Margaret Lang, LCSW
• Thomas Maurice Langer III, MD
• Mariah Anne Langfield
• Keri Mae Lanphear, M.S., LPC, SAC-IT

• Nurse Practitioner in West Allis, WI
• Providers in West Allis, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.