Theresa Lynne Labranche, M.S. PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002721 Issued in MI

Practice address

211 Walnut Blvd
Rochester, MI 48307-2056

Phone

(586) 651-2155

Fax

(248) 413-5841

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• Keith C McKenzie MD PLLC

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1801084629

  Medical

  NPD (past)
• Neurosurgery Group, P.C.

  • Specialist
  • Clinton TWP, MI
  • NPI 1275814915
  NPD (past)
• Family Doctors

  • General Practice Physician
  • Denton, TX
  • NPI 1093928970
  NPD (past)
• Vein Center at Allure Medical Spa, PLLC

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1336636786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1154438745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WALNUT BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072056",
            "telephone_number": "586-651-2155",
            "fax_number": "248-413-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WALNUT BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072056",
            "telephone_number": "586-651-2155",
            "fax_number": "248-413-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRANCHE",
        "first_name": "THERESA",
        "middle_name": "LYNNE",
        "credential": "M.S. PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Joseph Kubinski, D.D.S.
• Margaret Mary Kucinski, RN
• Zain Imad Kulairi, M.D.
• Andrew Kurecka, MPH
• Labaza Eyecare, P.C.
• Amelie Marie Lacoste, M.A. L.L.P.
• Renee Lafountain, LMSW
• Michael W Laker, M.D.
• Lakewood Dental
• John Ernest Lamacchia, M.D.

• Medical Physician Assistant in Rochester, MI
• Providers in Rochester, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.