Individual provider Active NPI

Alaina Renee Landry

  • Physician Assistant
  • Brusly, LA
National Provider Identifier
1881480762
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
348363 Issued in LA
Practice address
630 N Vaughan Dr
Brusly, LA 70719-2217
Phone
(225) 344-0008
NPI assigned
Apr 16, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 348363 LA Primary

Addresses

Primary practice location

630 N Vaughan Dr
Brusly, LA 70719-2217

Mailing address

6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 618-5015

Other practice location 1

8430 Pointe Coupee Rd
New Roads, LA 70760-4317
Phone (225) 638-3767

Other practice location 2

230 Roberts Dr Ste H
New Roads, LA 70760-2661
Phone (225) 618-7800

Other practice location 3

8387 Newfield Dr Ste A
Livonia, LA 70755-3605
Phone (225) 412-0404

Other practice location 4

13770 highway 77
Rosedale, LA 70772
Phone (225) 618-7191

Other practice location 5

8387 Newfield Dr Ste B
Livonia, LA 70755-3605
Phone (225) 412-0202

Other practice location 6

6450 La Highway 1 Ste B
Batchelor, LA 70715-3212
Phone (225) 618-5015

Other practice location 7

77575 Landry Dr
Maringouin, LA 70757-3210
Phone (225) 625-2105

Other identifiers 1

IdentifierTypeStateIssuer
2698427MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250913000373 LA Practitioner - Physician Assistant 1658889597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 Roberts Dr
New Roads, LA 70760-2661
Phone (225) 618-7800

6450 La Hwy 1
Batchelor, LA 70715-3212
Phone (225) 492-3775

77575 Landry Dr
Maringouin, LA 70757-3210
Phone (225) 625-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Innis Community Health Center, Inc Current Accepting new patients
Innis Community Health Center, Inc CurrentSince Aug 15, 2025 Accepting new patients
Innis Community Health Center, Inc CurrentSince Aug 15, 2025 Accepting new patients
Innis Community Health Center, Inc Past Accepting new patients

Locations

6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015

6450 LA Highway 1
Ste B
Batchelor, LA 70715
Phone (225) 618-5015

630 N Vaughan Dr
Brusly, LA 70719
Phone (225) 344-0008

8387 Newfield Dr
Livonia, LA 70755
Phone (225) 412-0202

8387 Newfield Dr
Ste A
Livonia, LA 70755
Phone (225) 412-0404

8387 Newfield Dr
Ste B
Livonia, LA 70755
Phone (225) 412-0202

230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1881480762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 LA HIGHWAY 1",
            "city": "BATCHELOR",
            "state": "LA",
            "postal_code": "707153212",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N VAUGHAN DR",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192217",
            "telephone_number": "225-344-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 Pointe Coupee Rd",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707604317",
            "country_code": "US",
            "telephone_number": "225-638-3767",
            "fax_number": "225-638-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Roberts Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707602661",
            "country_code": "US",
            "telephone_number": "225-618-7800",
            "fax_number": "225-238-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0404",
            "fax_number": "225-412-0342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 highway 77",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "LA",
            "postal_code": "70772",
            "country_code": "US",
            "telephone_number": "225-618-7191",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0202",
            "fax_number": "225-412-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 La Highway 1 Ste B",
            "address_purpose": "LOCATION",
            "city": "Batchelor",
            "state": "LA",
            "postal_code": "707153212",
            "country_code": "US",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77575 Landry Dr",
            "address_purpose": "LOCATION",
            "city": "Maringouin",
            "state": "LA",
            "postal_code": "707573210",
            "country_code": "US",
            "telephone_number": "225-625-2105",
            "fax_number": "225-625-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "ALAINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "348363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2698427",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brusly, LA

Sources for this page

Verify at the official NPI Registry.