Jessica Lynn Landry, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN100751 Issued in LA

Practice address

2390 W Congress Street
University Med Center
Lafayette, LA 70596

Phone

(337) 261-6000

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica@acadianacares.ssdirect.aprima.com

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.

• Acadiana Concern for AIDS Relief Education and Support, Inc.

  dba AcadianaCares

  • Federally Qualified Health Center (FQHC)
  • Lafayette, LA
  • NPI 1184146706
  Medicare reassignment NPD
• Professional Emergency Medicine Management -- Lake Charles LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1023430766
  Medicare reassignment NPD
• St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1891187654
  Medicare reassignment NPD
• Washington Parish Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Bogalusa, LA
  • NPI 1538511043
  Medicare reassignment NPD
• Acadiana Concern for AIDS Relief Education and Support, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lafayette, LA
  • NPI 1457413635
  NPD (past)
• Minute Med Clinic LLC

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1750638391
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508975111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUMMERTYME DRIVE",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "70592",
            "telephone_number": "337-856-0973",
            "fax_number": "337-261-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS STREET",
            "address_2": "UNIVERSITY MED CENTER",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70596",
            "telephone_number": "337-261-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN100751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Edward Landry, M.D.
• James Landry, CNIM
• Jason Alton Landry, M.D.
• Jason D. Landry, M.D.
• Jennifer Landry
• Jody Lynn Landry, RPH
• Johanna Ball Fruge Landry, MS, LPC
• Joslyn R Landry
• Katelyn H Landry, LPC-S
• Kelcie Landry

• Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.