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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PERRY ALLEN LANDRUM SUDP, SUDPT
NPI 1396580502
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since June 28, 2024
5001 112TH ST E, TACOMA, WA 98446(253) 238-7217 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Jun 28, 2024 (2 updates tracked since 2024).

About Perry Allen Landrum Sudp, Sudpt NPPES

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

PERRY ALLEN LANDRUM SUDP, SUDPT (NPI 1396580502) is an individual student in an organized health care education/training program in Tacoma, Washington, licensed in Washington (CDPT.CO.61106327) and active in the NPI registry since June 2024. He maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1396580502
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePERRY ALLEN LANDRUMCredential: SUDP, SUDPT
Location Address5001 112TH ST ETacoma, WA 98446-5307
Mailing Address5001 112th St ETacoma, WA 98446-5307 · (253) 238-7217
Phone(253) 238-7217
Sole ProprietorNo
Enumeration DateJune 28, 2024
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1396580502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · CDPT.CO.61106327
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDP.CP.61590366 (WA)
5001 112TH ST E, Tacoma, WA 98446
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Secondary Practice Location 1

Location 12704 I St NEAuburn, WA 98002-2411 · Phone (253) 833-7444 · Fax (253) 661-8631

Other Identifiers 1

Medicaid2291389WA

Other Providers at the Same Location NPPES 12

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

CHASITY L BARROW CDP-T
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
DAVID WILLIAM LAWS CDP
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
SEAN ROWE
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446
Pierce County (235) 444-2395
GAYDEANE LOUISE ALEXANDER CP 60062891
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
MR. MICHAEL DEAN BATEMAN SUDP
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 539-3157
KIZZIEA TERRY STUBBLEFIELD AAC
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
MEGAN MCCARREN
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
VERA ELIZABETH DIXON CO60810686
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perry Landrum's NPI number?

The NPI number for Perry Landrum is 1396580502. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Perry Landrum located?

Perry Landrum practices at 5001 112th St E, Tacoma, WA 98446. The listed phone number is (253) 238-7217.

What is Perry Landrum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Perry Landrum was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.