Active NPI
Carol A Landon, ARNP
- Family Nurse Practitioner
- Merrimack, NH
National Provider Identifier
1639103229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0246942303
- Practice address
- 454 Daniel Webster Hwy
Merrimack, NH 03054-3695 - Phone
- (603) 424-8120
- Fax
- (603) 424-8140
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0246942303 | NH | Primary |
Addresses
Primary practice location
454 Daniel Webster Hwy
Merrimack, NH 03054-3695
Mailing address
456 Daniel Webster Hwy
Merrimack, NH 03054-3699
Phone (603) 424-8120
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30D0084963 | Other | NH | CLIA ID # |
| 50Y095600NH01 | Other | NH | BC/BS GROUP ID # |
| 020451281 | Other | TAX ID # | |
| 23YP02407NH01 | Other | NH | BC/BS IPN |
| 0246942303 | Other | NH | BON LIC # |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0246942303 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Manchester NH, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- clandon@mvfp.directglo.com
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.
-
- Pharmacy
- Merrimack, NH
- NPI 1881777142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639103229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 DANIEL WEBSTER HWY",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030543699",
"telephone_number": "603-424-8120",
"fax_number": "603-424-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 DANIEL WEBSTER HWY",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030543695",
"telephone_number": "603-424-8120",
"fax_number": "603-424-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDON",
"first_name": "CAROL",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "0246942303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID #",
"identifier": "30D0084963",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP ID #",
"identifier": "50Y095600NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "020451281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS IPN",
"identifier": "23YP02407NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BON LIC #",
"identifier": "0246942303",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.