Individual provider Active NPI

Heather Landry, APRN

  • Family Nurse Practitioner
  • Uncasville, CT
National Provider Identifier
1487498648
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13358 Issued in CT
Practice address
2 Sandy Desert Rd
Uncasville, CT 06382-1112
Phone
(860) 464-3600
NPI assigned
Jun 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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 13358 CT Primary

Addresses

Primary practice location

2 Sandy Desert Rd
Uncasville, CT 06382-1112

Mailing address

715 Old Eagleville Rd
Coventry, CT 06238-3128
Phone (860) 377-3727

Other names 1

  • Heather Hodgkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240923000023 CT Practitioner - Nurse Practitioner 9133660848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

2 Sandy Desert Rd
Uncasville, CT 06382-1112
Phone (860) 599-5477

Hospital & facility affiliations

  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13358CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Oct 14, 2024 Accepting new patients

Locations

194 Howard St
New London, CT 06320
Phone (860) 442-0564

248 Flanders Rd
Niantic, CT 06357
Phone (860) 739-5426

91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

2 Sandy Desert Rd
Uncasville, CT 06382
Phone (860) 464-3800

Interoperability endpoints

  • Direct secure messaging: hlandry681743@direct.ynhh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1487498648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 OLD EAGLEVILLE RD",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383128",
            "telephone_number": "860-377-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SANDY DESERT RD",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821112",
            "telephone_number": "860-464-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HODGKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.