WEATHERLY B LANDRY (NPI# 1437426624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437426624 |
| Entity Type | Individual |
| Full Name | WEATHERLY B LANDRY |
| Credential | COTA |
| Practice Address |
2029 Burnett Blvd Wilmington NC 28401-6939 |
| Practice Telephone | 9104315997 |
| Mailing Telephone | 9104315997 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7649 | NC | Nursing & Custodial Care Facilities |
| Street Address |
2029 BURNETT BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160156 | Snh Del Tenant LLC | Assisted Living Facility | 1912 Marsh Road, Wilmington, DE 19810-3900 | 2019-08-22 |
| 1619445483 | Harborchase of Wilmington, LLC | Assisted Living Facility | 2004 Shipley Rd, Wilmington, DE 19803-5248 | 2018-11-09 |
| 1316370208 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3501 Converse Dr, Wilmington, NC 28403-6179 | 2013-08-14 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1457651309 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 46 S Cardinal Dr, Wilmington, NC 28403-1843 | 2010-10-26 |
| 1780831586 | Arden Courts of Wilmington De LLC | Assisted Living Facility | 700 1/2 Foulk Rd, Wilmington, DE 19803-3708 | 2008-08-22 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| 1285801233 | Ohio Living Communities | Assisted Living Facility | 175 Cape May Dr, Wilmington, OH 45177-2065 | 2008-05-09 |
| 1902020399 | Sunrise Assisted Living of Wilmington | Assisted Living Facility | 2215 Shipley Rd, Wilmington, DE 19803-2305 | 2007-04-13 |
| 1578683793 | Judge Family Care | Assisted Living Facility | 400 Judges Rd, Wilmington, NC 28405-3612 | 2007-03-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on WEATHERLY B 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.