DR. KERRY LEE LANDRY (NPI# 1396910857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396910857 |
| Entity Type | Individual |
| Full Name | DR. KERRY LEE LANDRY |
| Credential | M.D. |
| Practice Address |
3616 Shannon Rd Ste 200 Durham NC 27707 |
| Mailing Address |
3616 Shannon Rd Ste 200 Durham NC 27707-3532 |
| Practice Telephone | 9195515502 |
| Mailing Telephone | 9195515502 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
117309 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Douglas St, Suite 500, Durham, NC 277056616 | 9199089730 | |
| 811 9th St Ste 205, Durham, NC 277054192 | 9843656229 | |
| 3200 Pickett Rd, Durham, NC 277056010 | 9195515502 | 9195515499 |
| 5726 Fayetteville Rd Ste 101, Durham, NC 277136296 | 9195515502 |
| Street Address |
3616 SHANNON RD STE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536758 | Catalyst Therapeutic Services, Pllc | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707 | 2018-01-30 |
| 1497112429 | Kelsey Hargrove | Counselor | 3616 Shannon Rd Ste 200, Durham, NC 27707-3532 | 2016-01-21 |
| 1467839084 | Catherine Wehmann | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707-1082 | 2015-05-04 |
| 1366618332 | Erikka Daniene Dzirasa | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707-3532 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
| 1629675277 | Danielle Nicole Lampman | Psychiatry & Neurology | 4024 Stirrup Creek Dr, Durham, NC 27703-9464 | 2020-10-07 |
| 1740676154 | Michael Dunlap | Psychiatry & Neurology | 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 | 2015-04-13 |
| 1164829719 | Jennifer Colvin | Psychiatry & Neurology | 820 Broad St, Durham, NC 27705-4138 | 2014-11-25 |
| 1568620128 | Joseph Charles Crozier | Psychiatry & Neurology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2008-05-29 |
| 1457527327 | Jennifer E Holton | Psychiatry & Neurology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2008-05-01 |
| 1366618332 | Erikka Daniene Dzirasa | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707-3532 | 2008-04-30 |
| 1740475888 | Toby Benjamin Dewitt | Psychiatry & Neurology | 813 Broad St, Durham, NC 27705-4137 | 2007-09-12 |
| 1134225410 | Jean G Spaulding Md | Psychiatry & Neurology | 2400 Pratt Street, Suite 1500 First Floor, Durham, NC 27710 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432121 | North Carolina Neuropsychiatry, P.a. | Psychiatry & Neurology | 2080 Energy Dr, Apex, NC 27502-8722 | 2020-06-24 |
| 1073067492 | Teresa Tracy | Psychiatry & Neurology | 817 Mill Rd, Goldsboro, NC 27534-8947 | 2016-08-15 |
| 1659781581 | Il-gyu Cho | Psychiatry & Neurology | 101 Manning Dr. Cb#7160, Unc Department of Psychiatry, Chapel Hill, NC 27599 | 2014-04-30 |
| 1457770299 | Allison Foroobar | Psychiatry & Neurology | 400 Meadowmont Village Cir Ste 421, Chapel Hill, NC 27517-7505 | 2014-04-09 |
| 1386089894 | Christina Melissa Cruz | Psychiatry & Neurology | Department of Psychiatry Clb, 101 Manning Drive, Chapel Hill, NC 27599 | 2013-05-10 |
| 1497098420 | Neuropsychiatric Care Center, Pllc | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 210, Greensboro, NC 27410-5169 | 2013-03-27 |
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1598063307 | Corine's Care Management, Inc. | Psychiatry & Neurology | 369 B C Hwy 13 South, Snow Hill, NC 28580-9515 | 2011-03-02 |
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| 1386962876 | Madlena Todorova Rush | Psychiatry & Neurology | Wamc, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2010-05-10 |
| Find all providers with the same taxonomy | ||||
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| 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.