Individual provider Active NPI

Rebecca Elizabeth Landry, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1316537525
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1027771 Issued in TX
Practice address
918 W Craig PL
San Antonio, TX 78201-5704
Phone
(205) 492-2528
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 1027771 TX Primary

Addresses

Primary practice location

918 W Craig PL
San Antonio, TX 78201-5704

Mailing address

918 W Craig PL
San Antonio, TX 78201-5704
Phone (205) 492-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220706001699 AL Practitioner - Nurse Practitioner 0042615882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

513 Brookwood Blvd
Suite 401
Birmingham, AL 35209-6883
Phone (205) 870-0256

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
61.85
Promoting interoperability
97
Improvement activities
40
Cost
79.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027771TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Apr 11, 2022 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Apr 11, 2022 Accepting new patients

Locations

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

Interoperability endpoints

  • Direct secure messaging: elizabeth.landry@339586306736132.direct.elationemr.com
  • Direct secure messaging: rebecca.landry@gastrohealth.eclinicaldirectplus.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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1316537525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015704",
            "telephone_number": "205-492-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015704",
            "telephone_number": "205-492-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1027771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.