SHANNON FAITH LANDRY (NPI# 1679049456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679049456 |
| Entity Type | Individual |
| Full Name | SHANNON FAITH LANDRY |
| Practice Address |
101 Hospital Rd Patchogue NY 11772 |
| Mailing Address |
5806 Longview St Papillion NE 68133-2439 |
| Practice Telephone | 6316547100 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5806 Longview St, Papillion, NE 681332439 | 6316547100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861567216 | Shannon Dawn Landry | Physical Therapist | 6960 East Broadway Road, Mesa, AZ 85208 | 2006-11-21 |
| 1760932693 | Shannon Landry | Pharmacist | Hwy 18, Pine Ridge, SD 57770 | 2016-10-04 |
| Street Address |
101 HOSPITAL RD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523107 | Meghan Cabrera | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2019-08-12 |
| 1306311600 | Adrian S Krueger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-10-12 |
| 1326523382 | Brandon Lee | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-09-26 |
| 1043791882 | Kathryn Elizabeth Walton | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-28 |
| 1508346248 | Brookhaven Memorial Hospital Medical Center, Inc. | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-21 |
| 1043799513 | Hospitalist Medicine Physicians of New York-tcg, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1013496579 | Courtney Bofinger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1366920993 | Hospitalist Medicine Physician of New York - Patchogue, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-06 |
| 1750868824 | Michelle Wintjen | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-07-23 |
| 1366937526 | Bryant M Williams | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385920 | Lorena Mcclure | Physician Assistant | 77 Waverly Ave Apt 413, Patchogue, NY 11772-8301 | 2019-09-15 |
| 1023663184 | Genevieve Wood-minardi | Physician Assistant | 107 N Ocean Ave Ste G, Patchogue, NY 11772-2012 | 2019-08-06 |
| 1225594351 | Steven Bender | Physician Assistant | 30 Avery Ave, Patchogue, NY 11772-2902 | 2019-02-13 |
| 1831600881 | Gulbin Antapli-zeb | Physician Assistant | 440 Waverly Ave Ste 11, Patchogue, NY 11772-7601 | 2017-10-17 |
| 1043660012 | Stephanie Salinas | Physician Assistant | 65 E Woodside Ave, Patchogue, NY 11772-1312 | 2016-06-20 |
| 1548884406 | Samantha Giordano | Physician Assistant | 73 S Ocean Ave, Patchogue, NY 11772-3702 | 2020-06-05 |
| 1306311600 | Adrian S Krueger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-10-12 |
| 1043791882 | Kathryn Elizabeth Walton | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-28 |
| 1013496579 | Courtney Bofinger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1154817153 | Adriana Coico | Physician Assistant | 365 E Main St, Patchogue, NY 11772 | 2018-07-03 |
| Find all providers in PATCHOGUE | ||||
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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.