Kerry Lee Landry, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

117309 Issued in NC

Practice address

3616 Shannon Rd Ste 200
Durham, NC 27707

Phone

(919) 551-5502

NPI assigned

Apr 25, 2008

Last updated

Feb 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 30, 2018 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Catalyst Therapeutic Services, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1225536758
  NPD Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1396910857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073532",
            "telephone_number": "919-551-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-551-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Douglas St",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277056616",
            "country_code": "US",
            "telephone_number": "919-908-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 9th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054192",
            "country_code": "US",
            "telephone_number": "984-365-6229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Pickett Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277056010",
            "country_code": "US",
            "telephone_number": "919-551-5502",
            "fax_number": "919-551-5499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5726 Fayetteville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136296",
            "country_code": "US",
            "telephone_number": "919-551-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "117309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bryce Landi, M.D.
• Landmark Medical of North Carolina PC
• Elizabeth Landolfo, M.D.
• Michael Brandon Landreth, DMD
• Charity Landrum, PA
• Jessica Renee Lands, LPA
• Andrew Paul Landstrom, M.D., PH.D.
• Lane and Associates VI DDS PA
• Lane and Associates Xiv DDS PA (Durham Family Dentistry)
• Lane to Change Counseling PLLC

• Child & Adolescent Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.