NPIMap

Individual provider Active NPI

Anna Cristine Landry, N.P.

  • Adult Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1639348394
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05420 Issued in LA
Practice address
600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone
(337) 436-3813
Fax
(337) 493-4325
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05420 LA Primary

Addresses

Primary practice location

600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8258

Other identifiers 1

IdentifierTypeStateIssuer
1049042MedicaidLA

Other names 1

  • Ms. Anna Cristine McFatter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000638 LA Practitioner - Nurse Practitioner 2961580022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

600 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone (337) 436-3813

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Allen Parish Hospital Hospital, Kinder, LA, CCN 190133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05420LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Jan 1, 2013 Accepting new patients
Imperial Health, LLP CurrentSince Jan 1, 2013 Accepting new patients
Lake Charles Memorial Heart and Vascular Center PastSince Mar 1, 2009 Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC Past Accepting new patients
Mulhearn Medical, LLC Past Accepting new patients

Locations

600 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 439-5800

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

Interoperability endpoints

  • Direct secure messaging: anna.landry@1288.direct.myezyaccess.com

Organizations & group practices 5

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1639348394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8258",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015727",
            "telephone_number": "337-436-3813",
            "fax_number": "337-493-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "ANNA",
        "middle_name": "CRISTINE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049042",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MCFATTER",
            "middle_name": "CRISTINE",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.