Dwight W. Landor, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP143998 Issued in TX

Practice address

815 Brandywine St
Beaumont, TX 77706-5425

Phone

(409) 422-3714

NPI assigned

Nov 13, 2019

Last updated

Dec 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Dwight W. Landor Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access2Health PLLCGroup PAC ID 7113344235, 2 clinicians

Texas ER Group PLLCGroup PAC ID 4880039338, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altus Lumberton Hospital Hospital, Lumberton, TX, CCN 670134

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwight.landor.1@23327.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23327/brand/1/csg/1/fhir/r4

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.

• Access2Health PLLC

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1093339434

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Texas ER Group PLLC

  • Emergency Medicine Physician
  • Lumberton, TX
  • NPI 1235829359

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1649787896

  Single Specialty

  NPD
• Altus ER Physician Group PLLC

  • Emergency Medicine Physician
  • Lumberton, TX
  • NPI 1013571538

  Single Specialty

  NPD (past)

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

• Lumberton Hospital LLC

  • General Acute Care Hospital
  • Lumberton, TX
  • NPI 1750932117
  Care Compare affiliation

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1407491541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BRANDYWINE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065425",
            "telephone_number": "409-422-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BRANDYWINE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065425",
            "telephone_number": "409-422-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Gray Falls Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776687",
            "country_code": "US",
            "telephone_number": "713-422-2920",
            "fax_number": "281-720-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDOR",
        "first_name": "DWIGHT",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143998",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2019045415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURING",
            "identifier": "AP143998",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DWIGHT",
            "last_name": "LANDOR",
            "middle_name": "W.",
            "prefix": "MR.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lamar University Student Health Ctr
• Shawna Cecilia Lambert-Pitt, M.D
• Raymond Lee Lambeth, LMT
• Land Manor, Inc.
• Heather Coody Landers, AGACNP
• Katherine E Landor, FNP-BC
• Rachel Rene Landry Humphrey
• Brittany Ellis Landry, RNFA
• Heather Landry, RN
• Jerica C Landry

• Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nurse Practitioner in Texas

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