Individual provider Active NPI

Denise Landry, C-FNP

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1659564714
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36532 Issued in WV
Practice address
Marshall University Counseling Ctr
One John Marshall Drive
Huntington, WV 25755-0001
Phone
(304) 696-3111
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36532 WV Primary

Addresses

Primary practice location

Marshall University Counseling Ctr
One John Marshall Drive
Huntington, WV 25755-0001

Mailing address

Marshall University Counseling Ctr
One John Marshall Drive
Huntington, WV 25755-0001
Phone (304) 696-3111

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

State licenses

LicenseStateTypeSpecialty
36532WVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1659564714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARSHALL UNIVERSITY COUNSELING CTR",
            "address_2": "ONE JOHN MARSHALL DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSHALL UNIVERSITY COUNSELING CTR",
            "address_2": "ONE JOHN MARSHALL DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "DENISE",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "36532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.