MS. DONNA M LANDRY PHYSICIAN ASSISTANT
NPI 1366523490
Physician Assistant - Medical in Olympia, WA

Q: What is Donna Landry's NPI number?

The NPI number for Donna Landry is 1366523490. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Donna Landry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Donna Landry was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006PECOS Enrolled

1603 COOPER POINT RD NW, OLYMPIA, WA 98502(360) 753-0396(360) 539-7937 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Donna M Landry Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DONNA M LANDRY PHYSICIAN ASSISTANT (NPI 1366523490) is an individual medical provider in Olympia, Washington, licensed in Washington (PA10002558) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366523490

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. DONNA M LANDRYCredential: PHYSICIAN ASSISTANT

Location Address1603 COOPER POINT RD NWOlympia, WA 98502-8325

Mailing Address1603 Cooper Point Rd NwOlympia, WA 98502-8325 · (360) 753-0396 · Fax (360) 539-7937

Phone(360) 753-0396

Fax(360) 539-7937

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1366523490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA10002558

1603 COOPER POINT RD NW, Olympia, WA 98502

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Other Identifiers 6

Other5617199Aetna Non Hmo

OtherOA10000203Wash St License

Other3568326Aetna Hmo

OtherO198234Labor & Industries

Other2007LARegence

OtherA1820Premera Bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna M Landry Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD P KENNEDY MD

Internal Medicine (Cardiovascular Disease)