Kendra Louise Landry, PA-C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

320674 Issued in LA

Practice address

2709 Mackey LN
Shreveport, LA 71118-2556

Phone

(318) 671-1131

NPI assigned

Nov 5, 2019

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAJHBA

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.

• Rheumatology and Osteoporosis Specialists, AMC

  • Rheumatology Physician
  • Shreveport, LA
  • NPI 1689766271
  Medicare reassignment
• Rheumatology and Osteoporosis Specialists, AMC

  dba Rheumatology and Osteoporosis Specialists Pharmacy

  • Pharmacy
  • Shreveport, LA
  • NPI 1477343713
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1528602372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MACKEY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182556",
            "telephone_number": "225-324-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MACKEY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182556",
            "telephone_number": "318-671-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KENDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "320674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Lamothe, P.T.
• Olivia P Lanclos, MSN, APRN, FNP-C
• Dana Marie Landry, MD
• Danielle Leblanc Landry, MS, LDN, RD
• Janie Landry, LPC
• Kourtney Landry
• Lauren Ann Landry, MD
• Layne Allen Landry, MD
• Alexis Lands
• Brandy Lane-Gilyard, APRN, FNP-C

• Pediatrics Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.