Rose Landry-Charles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1202 Kirkman St Ste C
Lake Charles, LA 70601-5391

Phone

(337) 990-5305

Fax

(337) 990-5306

NPI assigned

Dec 24, 2015

Last updated

Oct 3, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1972968576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 KIRKMAN ST STE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015391",
            "telephone_number": "337-990-5305",
            "fax_number": "337-990-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 KIRKMAN ST STE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015391",
            "telephone_number": "337-990-5305",
            "fax_number": "337-990-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY-CHARLES",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-24",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Optical
• Amanda Deanne Lamb
• Lyela Marie Lambert
• Kerry Lamkin, P.T.
• Anthony Gene Lampson, M.D.
• Anna Cristine Landry, N.P.
• Brittany Landry, FNP
• Charmaine Landry, CAC, CCDP
• David Joseph Landry, M.D.
• Donovan Landry, BSRS, (R)(CT)

• Case Manager/Care Coordinator in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.