Amelia Landry

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10094-M Issued in NV

Practice address

1135 Terminal Way Ste 208B
Reno, NV 89502-2168

Phone

(775) 322-3668

NPI assigned

Aug 9, 2021

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premise Health of Nevada Medical Hinitt P C

  • Family Medicine Physician
  • Winnemucca, NV
  • NPI 1437185105
  NPD
• Vitality Unlimited

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1942071683
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1639844012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-322-3668",
            "fax_number": "775-786-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-322-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Lakeside Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094862",
            "country_code": "US",
            "telephone_number": "775-789-6880",
            "fax_number": "775-786-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10094-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Landis
• Landmark Medical of Tennessee PC
• Patricia C Landon, APN-BC
• Brian E. Landreth, DO
• Landrito Radiology LLC
• Robin Landry, LCSW
• Amber Rose Lane
• Amelia Lane
• Christine Ann Lane, MFT, RN
• Garett Walker Lane, MS

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.