Active NPI
Anne Landry
- Speech-Language Pathologist
- East Longmeadow, MA
National Provider Identifier
1982155271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9346
- Practice address
- 10 Crescent HL
East Longmeadow, MA 01028-2846 - Phone
- (860) 705-2404
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9346 | MA | Primary |
| Speech-Language Pathologist | 235Z00000X | 001546 | CT |
Addresses
Primary practice location
10 Crescent HL
East Longmeadow, MA 01028-2846
Mailing address
10 Crescent HL
East Longmeadow, MA 01028-2846
Phone (860) 705-2404
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9346 | MA | MD | Speech-Language Pathologist |
| 001546 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1982155271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CRESCENT HL",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010282846",
"telephone_number": "860-705-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CRESCENT HL",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010282846",
"telephone_number": "860-705-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9346",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.