Individual provider Active NPI

Denise Landon, FNP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1306340245
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134891 Issued in TX
Practice address
364 Richland West Cir Ste a
Waco, TX 76712
Phone
(254) 537-0911
Fax
(254) 537-0313
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134891 TX Primary

Addresses

Primary practice location

364 Richland West Cir Ste a
Waco, TX 76712

Mailing address

PO Box 23189
Waco, TX 76702-3189
Phone (254) 537-0911

Other practice location 1

805 Carla Kay Apt B
Belton, TX 76513-4380
Phone (931) 302-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423002352 TX Practitioner - Nurse Practitioner 6709149800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134891TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Gastroenterology Associates CurrentSince Apr 10, 2018 Accepting new patients

Locations

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

Organizations & group practices 1

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1306340245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23189",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023189",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RICHLAND WEST CIR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Carla Kay Apt B",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765134380",
            "country_code": "US",
            "telephone_number": "931-302-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDON",
        "first_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.