Kimberley Landry

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1014539 Issued in TX

Practice address

15301 Spectrum Dr
Addison, TX 75001-4665

Phone

(972) 661-2273

Fax

(972) 421-1899

NPI assigned

Oct 20, 2020

Last updated

Oct 20, 2020By the provider in NPPES

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Lone Star Testosterone & Wellness, LLC

  • Medical Specialty Clinic/Center
  • Frisco, TX
  • NPI 1457246183
  NPD Authorized official
• North Dallas Hormone Group, PLLC

  dba Lone star Testosterone & Wellness

  • Medical Specialty Clinic/Center
  • Frisco, TX
  • NPI 1528950508
  NPD Authorized official
• Americare Medical Partners, PLLC

  • Infectious Disease Physician
  • Lewisville, TX
  • NPI 1346651072
  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1720687858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 LAMAR LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 SPECTRUM DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014665",
            "telephone_number": "972-661-2273",
            "fax_number": "972-421-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtin Vision Specialists
• Steven Charles Kurtin, DO
• Krystyna Michelle Lacefield, COTA
• Jasmine M Lacour
• Estela Landicho, P.T.
• Julie Davis Landsaw, LPC
• Larkhaven Psychiatry PLLC (Larkhaven Psychiatry)
• CHI-Kit Francis Lau, RPH
• Laurie Ames Petty, M.Ed., LPC, P.a.
• Sydney Lawrence, PA-C

• Family Nurse Practitioner in Addison, TX
• Providers in Addison, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.