Active NPI
Ryan James Landry, LAT
- Athletic Trainer
- St Rose, LA
National Provider Identifier
1932136975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 167 E Oakland St
St Rose, LA 70087-3231 - Phone
- (504) 430-2364
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LA | Primary |
Addresses
Primary practice location
167 E Oakland St
St Rose, LA 70087-3231
Mailing address
167 E Oakland St
St Rose, LA 70087-3231
Phone (504) 430-2364
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932136975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 E OAKLAND ST",
"city": "ST ROSE",
"state": "LA",
"postal_code": "700873231",
"telephone_number": "504-430-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 E OAKLAND ST",
"city": "ST ROSE",
"state": "LA",
"postal_code": "700873231",
"telephone_number": "504-430-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Rose, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.