Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Leanne Landry, MD

Individual provider Family Medicine Physician · NPI 1891178653

Dr. Nicole Leanne Landry, MD is a Family Practice in Longview, Washington. Qualified in 2015, 11 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Washington and Wisconsin.

Years since qualifying
11
Licensed in
WA, WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1718 E Kessler Blvd
Longview, WA 98632-1842
Phone: (360) 747-5800
Fax: (360) 575-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60855874 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5875 - 851 (WI)

Record details

NPI number1891178653
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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