Active NPI
Evie Cassandra Landry, MD, FRCSC
- Pediatric Otolaryngology Physician
- Washington, DC
National Provider Identifier
1619647138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- MTL500001531
- Practice address
- Childrens National Hospital- Division of Otolaryngology
111 Michigan Avenue NW Suite 3W-800
Washington, DC 20010 - Phone
- (202) 476-3659
- NPI assigned
- Sep 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | MTL500001531 | DC | Primary |
Addresses
Primary practice location
Childrens National Hospital- Division of Otolaryngology
111 Michigan Avenue NW Suite 3W-800
Washington, DC 20010
Mailing address
1301 M St NW Apt 906
Washington, DC 20005-4229
Phone (202) 568-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL500001531 | DC | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- elandry114065@baptisthealthsystemjacksonville.direct-ci.com
- elandry119716@direct.nemours.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1619647138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 M ST NW APT 906",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200054229",
"telephone_number": "202-568-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDRENS NATIONAL HOSPITAL- DIVISION OF OTOLARYNGOLOGY",
"address_2": "111 MICHIGAN AVENUE NW SUITE 3W-800",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-476-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "EVIE",
"middle_name": "CASSANDRA",
"name_prefix": "Dr.",
"credential": "MD, FRCSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "DC",
"license": "MTL500001531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.