GLENN JEROME LANDRY (NPI# 1629375712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629375712 |
| Entity Type | Individual |
| Full Name | GLENN JEROME LANDRY |
| Credential | NP |
| Practice Address |
7777 Hennessy Blvd Suite 217 Baton Rouge LA 70808-4300 |
| Practice Telephone | 2257651737 |
| Practice Fax Number | 2257651842 |
| Mailing Telephone | 2257651737 |
| Mailing Fax Number | 2257651842 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2013-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
06368 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 274780YJA2 | 01 | |
| LA | 2141040 | 05 | |
| MS | 2434045 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874205 | Glenn R Landry | Urology | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2005-07-08 |
| Street Address |
7777 HENNESSY BLVD SUITE 217 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143841 | Jeffrey Dean Hyde | Internal Medicine | 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 | 2005-06-13 |
| 1487211397 | Karrie G Mccoy | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-05-27 |
| 1912466160 | Paige Cantrell Guillory | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-03-18 |
| 1699267666 | Osaretin Charles Aimuyo | Pediatrics | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-06-05 |
| 1962992883 | John Ghassan | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-05-16 |
| 1003312414 | Jamie Nicole Scharfschwerdt | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-04-04 |
| 1356859888 | Kristen Pilcher Boudreaux | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Ste 301, Baton Rouge, LA 70808 | 2018-01-18 |
| 1548784192 | Erickia Lee Le Meunier | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-07-26 |
| 1215457023 | Amy Miller | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-06-22 |
| 1053852806 | Kathryn Tetreault | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-4300 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1740541200 | Wound Team | Nurse Practitioner | 636 Lobdell Ave, Baton Rouge, LA 70806-6318 | 2012-05-31 |
| 1598038267 | Rebecca Zeringue Hunt | Nurse Practitioner | 17912 Monitor Ave, Baton Rouge, LA 70817-2647 | 2012-02-10 |
| 1083872006 | Marguerite Mary Moffatt | Nurse Practitioner | 12875 Scenic Hwy, Baton Rouge, LA 70807-1007 | 2008-05-27 |
| 1053509596 | Margaret R Delaune | Nurse Practitioner | 3600 Florida Blvd., Baton Rouge, LA 70806 | 2007-10-10 |
| 1295860815 | Christy Cook Perry | Nurse Practitioner | 4045 North Blvd Ste B, Baton Rouge, LA 70806-3830 | 2007-02-22 |
| 1184617623 | Joyce Catherine Mire | Nurse Practitioner | 8585 Picardy Ave Ste 114, Hmg- Baton Rouge General, Baton Rouge, LA 70809-3679 | 2005-08-30 |
| 1770580060 | Kirby Dwayne Humbles | Nurse Practitioner | 8333 Goodwood Blvd # Na, Baton Rouge, LA 70806-7744 | 2005-07-01 |
| 1396285821 | Carrie Perry | Nurse Practitioner | 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 | 2017-03-02 |
| 1740541440 | Tanisha Burrell Smith | Nurse Practitioner | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2012-05-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on GLENN JEROME LANDRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.