Individual provider Active NPI

Natalie Landry

  • Licensed Practical Nurse
  • Albany, OR
National Provider Identifier
1942936562
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201911247LPN Issued in OR
Practice address
213 Water Ave NW
Albany, OR 97321-2298
Phone
(541) 371-2080
Fax
(541) 928-6713
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201911247LPN OR Primary

Addresses

Primary practice location

213 Water Ave NW
Albany, OR 97321-2298

Mailing address

213 Water Ave NW
Albany, OR 97321-2298
Phone (541) 371-2080

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

State licenses

LicenseStateTypeSpecialty
201911247LPNORMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CRC Health Oregon, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

213 Water Ave NW
Albany, OR 97321
Phone (541) 371-2080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1942936562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WATER AVE NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212298",
            "telephone_number": "541-371-2080",
            "fax_number": "541-928-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WATER AVE NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212298",
            "telephone_number": "541-371-2080",
            "fax_number": "541-928-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201911247LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.