Active NPI
Kelli S Landrum, FNP-C
- Family Nurse Practitioner
- Kenai, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 133545
- Practice address
- 805 Frontage Rd
Kenai, AK 99611 - Phone
- (907) 283-3600
- Fax
- (907) 283-3601
- NPI assigned
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201506440NP-PP | OR | |
| Nurse Practitioner | 363L00000X | 227339 | LA | |
| Family Nurse Practitioner | 363LF0000X | 133545 | AK | Primary |
Addresses
Primary practice location
805 Frontage Rd
Kenai, AK 99611
Mailing address
PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 260-7303
Other practice location 1
3311 Prescott Rd Ste 110
Alexandria, LA 71301-3917
Phone (318) 448-4995
Other practice location 2
3311 Prescott Rd Ste 314
Alexandria, LA 71301-3984
Phone (318) 528-3668
Other practice location 3
230 E Marydale Ave
Soldotna, AK 99669-7648
Phone (907) 262-3119
Other practice location 4
900 Sunset Dr
LA Grande, OR 97850-1387
Phone (541) 562-6180
Other practice location 5
2108 Texas Ave Ste 2080
Alexandria, LA 71301-3944
Phone (318) 448-4995
Other practice location 6
80 Versailles Blvd
Alexandria, LA 71303-3978
Phone (318) 473-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684877 | Medicaid | AK |
Other names 1
- Kelli S Vicek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138
3311 Prescott Rd
Alexandria, LA 71301-3900
Phone (318) 487-1122
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 483-4090
Hospital & facility affiliations
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227339 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Peninsula Community Health Services of Alaska, Inc. | Past | Accepting new patients |
Locations
3311 Prescott Rd
Ste 314
Alexandria, LA 71301
Phone (318) 448-8517
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- klandrum295513@christushealth.direct-ci.net
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Federally Qualified Health Center (FQHC)
- Soldotna, AK
- NPI 1700984614
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1437526894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2949",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996692949",
"telephone_number": "907-260-7303",
"fax_number": "907-260-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FRONTAGE RD",
"city": "KENAI",
"state": "AK",
"postal_code": "99611",
"telephone_number": "907-283-3600",
"fax_number": "907-283-3601"
}
],
"practiceLocations": [
{
"address_1": "3311 Prescott Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013917",
"country_code": "US",
"telephone_number": "318-448-4995",
"fax_number": "318-561-4116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3311 Prescott Rd Ste 314",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013984",
"country_code": "US",
"telephone_number": "318-528-3668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 E Marydale Ave",
"address_purpose": "LOCATION",
"city": "Soldotna",
"state": "AK",
"postal_code": "996697648",
"country_code": "US",
"telephone_number": "907-262-3119",
"fax_number": "907-262-9290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Sunset Dr",
"address_purpose": "LOCATION",
"city": "LA Grande",
"state": "OR",
"postal_code": "978501387",
"country_code": "US",
"telephone_number": "541-562-6180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2108 Texas Ave Ste 2080",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013944",
"country_code": "US",
"telephone_number": "318-448-4995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Versailles Blvd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713033978",
"country_code": "US",
"telephone_number": "318-473-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRUM",
"first_name": "KELLI",
"middle_name": "S",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201506440NP-PP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "227339",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "133545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684877",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "VICEK",
"middle_name": "S",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.