Active NPI
Lynn Leblanc, DPM
- Podiatrist
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000530
- Practice address
- 1 Northwestern Dr
Suite 301
Bloomfield, CT 06002-3400 - Phone
- (860) 243-2951
- Fax
- (860) 243-5790
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000530 | CT | Primary |
Addresses
Primary practice location
1 Northwestern Dr
Suite 301
Bloomfield, CT 06002-3400
Mailing address
1 Northwestern Dr
Suite 301
Bloomfield, CT 06002-3400
Phone (860) 243-2951
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093710972 | Other | CT | NPI |
| 030000530CT04 | Other | CT | FEDERAL BLUE CROSS ID |
| PL0161 | Other | CT | MEDIBLUE PROVIDER ID |
| 3204678 | Other | CT | AETNA PROVIDER ID |
| 748411 | Other | CT | CONNECTICARE PROVIDER ID |
| 1162763 | Other | CT | UNITED HEALTH PROVIDER ID |
| 030000530CT04 | Other | CT | ANTHEM PROVIDER ID |
| 1396931648 | Other | CT | NPI |
| 298258 | Other | CT | WELLCARE PROVIDER ID |
| 2V4184 | Other | CT | HEALTH NET PROVIDER ID |
| HAS386 | Other | CT | OXFORD PROVIDER ID |
| 004235645 | Medicaid | CT | |
| 0170716 | Other | CT | CIGNA PROVIDER ID |
| 1235281288 | Other | CT | GROUP NPI |
| 480000912 | Other | CT | MEDICARE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Bloomfield Ave
Suite 201
Bloomfield, CT 06002-2480
Phone (860) 243-2951
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 84 |
| Removal of skin lesions | 37 |
| Removal of nail tissue | 923 |
| Removal or shaving of skin growth | 356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530 | CT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomfield Foot Specialists,LLC | Podiatrist | Current | Accepting new patients |
Locations
47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020
705 Bloomfield Ave
Ste 201
Bloomfield, CT 06002
Phone (860) 243-2951
1 Northwestern Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 243-2951
Interoperability endpoints
- lynnleblanc@bloomfieldfoot.emrgedirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Bloomfield, CT
- NPI 1235281288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1093710972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NORTHWESTERN DR",
"address_2": "SUITE 301",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023400",
"telephone_number": "860-243-2951",
"fax_number": "860-243-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NORTHWESTERN DR",
"address_2": "SUITE 301",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023400",
"telephone_number": "860-243-2951",
"fax_number": "860-243-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1093710972",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS ID",
"identifier": "030000530CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIBLUE PROVIDER ID",
"identifier": "PL0161",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "3204678",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER ID",
"identifier": "748411",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PROVIDER ID",
"identifier": "1162763",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "030000530CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1396931648",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER ID",
"identifier": "298258",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER ID",
"identifier": "2V4184",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "HAS386",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235645",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID",
"identifier": "0170716",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1235281288",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "480000912",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.