Matt Jude Landry, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP06784 Issued in LA

Practice address

443 Heymann Blvd
Ste. B
Lafayette, LA 70503-2630

Phone

(337) 289-8429

Fax

(337) 289-8431

NPI assigned

Mar 2, 2012

Last updated

Mar 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lafayette Health Ventures Inc

  dba dba Family Health Plaza

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113
  Medicare reassignment Care Compare group
• Lafayette Health Ventures Inc

  dba Jennings American Legion Hospital Physician Group

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures, Inc

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1467687186
  NPD
• Curana Health of Louisiana LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1538399704
  NPD (past)
• Kenneth L Entes MD Apmc

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1629276886
  NPD (past)

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

• Acadian Homecare, LLC

  • Home Health Agency
  • Lafayette, LA
  • NPI 1275580151
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1861766206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-872-5864",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HEYMANN BLVD",
            "address_2": "STE. B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032630",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "MATT",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06784",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leopold D Landry Jr., MD
• Lindsey Richard Landry, DDS, MS
• Lisa Kate Landry, BS, CIT
• Margaret Guillory Landry, NP-C
• Mark J Landry, NP
• Meaghan Landry
• Melanie Landry
• Michele Louise Landry, ANP-BC
• Patricia Lynn Landry, CIT
• Paulette Guidry Landry

• Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.