Stephanie C Landry

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3901 Houma Blvd Ste 404
Metairie, LA 70006-2930

Phone

(866) 402-7631

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleanor Health Professional la, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lafayette, LA
  • NPI 1265050736
  NPD
• Eleanor Health Professional FL PLLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1144940735
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1679351837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CRESCENT ST STE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533425",
            "telephone_number": "781-487-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "866-402-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Gunn Hwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336188786",
            "country_code": "US",
            "telephone_number": "866-402-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Landry, AU.D., CCC-A
• Nyra Lashonda Landry
• Ronald A Landry, M.D.
• Ryan Paul Landry
• Savannah P Landry, MOT LOTR
• Tre Landry
• Carmono Catez Lane Jr.
• Chelsi Celeste Lane, CPHT
• Janai E. Lane
• Jordan Dolores Lane

• Peer Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Peer Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.