Organization Active NPI

Nancy Landry PLLC

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1275089575
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NANCY LANDRY PLLC
Doing business as
Somerville Family Practice
Practice address
Somerville Family Practice
1020 Broadway
Somerville, MA 02144
Phone
(617) 628-2160
Fax
(617) 628-8237
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Nancy Landry, RN
Title
RN Owner
Phone
(617) 628-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA Primary

Addresses

Primary practice location

Somerville Family Practice
1020 Broadway
Somerville, MA 02144

Mailing address

Somerville Family Practice
1020 Broadway
Somerville, MA 02144
Phone (617) 628-2160

Other names 1

  • Somerville Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109001092 MA Part B Supplier - Clinic/Group Practice 2567741887 Receives reassigned benefits from 6 practitioners
Practice locations: Somerville, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1275089575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOMERVILLE FAMILY PRACTICE",
            "address_2": "1020 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "617-628-2160",
            "fax_number": "617-628-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOMERVILLE FAMILY PRACTICE",
            "address_2": "1020 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "617-628-2160",
            "fax_number": "617-628-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LANDRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "RN OWNER",
        "authorized_official_telephone_number": "617-628-2160",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.