Individual provider Active NPI

Heather Marie Landry

  • Certified Registered Nurse Anesthetist
  • Dover, DE
National Provider Identifier
1386973741
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L6-0A00787 Issued in DE
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 430-5746
Fax
(302) 430-5507
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R177819 MD
Certified Registered Nurse Anesthetist 367500000X L6-0A00787 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S. State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 430-5746

Other names 1

  • Heather Marie Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000600 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789878257 Reassigns benefits to 4 organizations
I20180404000059 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789878257 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Assoc of MarylandGroup PAC ID 7012106610, 15 clinicians

Practice addresses (Care Compare)

101 Milford St
Salisbury, MD 21804-6952
Phone (800) 394-4445

804 Snow Hill Rd
Salisbury, MD 21804-1938
Phone (800) 394-4445

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jul 1, 2020 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Anesthesia Services PA CurrentSince May 1, 2024 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 18, 2024 Accepting new patients
Easton Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jul 1, 2020 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2025 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1386973741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-430-5746",
            "fax_number": "302-430-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-430-5746",
            "fax_number": "302-430-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R177819",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CHANG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.