IndividualActive
Jacob Landry, LSA
NPI 1679049522 · Surgical Assistant · Katy, TX
Provider details
- NPI number
- 1679049522
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- SA00774 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20119 Amberlight Ln
Katy, TX 77450-5050
Phone: (214) 227-2457
Fax: (214) 764-0880
Street-level locationGet directions
Mailing address
Po Box 2550
Rowlett, TX 75030-2550
Registry dates
- Enumerated
- 2018-10-18
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.