Individual provider Active NPI

Lynn Leblanc, DPM

  • Podiatrist
  • Bloomfield, CT
National Provider Identifier
1093710972
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000530 Issued in CT
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

Updated by the provider on Oct 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1093710972OtherCTNPI
030000530CT04OtherCTFEDERAL BLUE CROSS ID
PL0161OtherCTMEDIBLUE PROVIDER ID
3204678OtherCTAETNA PROVIDER ID
748411OtherCTCONNECTICARE PROVIDER ID
1162763OtherCTUNITED HEALTH PROVIDER ID
030000530CT04OtherCTANTHEM PROVIDER ID
1396931648OtherCTNPI
298258OtherCTWELLCARE PROVIDER ID
2V4184OtherCTHEALTH NET PROVIDER ID
HAS386OtherCTOXFORD PROVIDER ID
004235645MedicaidCT
0170716OtherCTCIGNA PROVIDER ID
1235281288OtherCTGROUP NPI
480000912OtherCTMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000030 CT Practitioner - Podiatry 6002706264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Foot Specialists,LLCGroup PAC ID 5496645657, 3 clinicians

Practice addresses (Care Compare)

705 Bloomfield Ave
Suite 201
Bloomfield, CT 06002-2480
Phone (860) 243-2951

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of skin lesions37
Removal of nail tissue923
Removal or shaving of skin growth356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
530CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Foot Specialists,LLC Podiatrist CurrentSince Jul 1, 2003 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.