Icentia, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ICENTIA, LLC

Practice address

106 Main St Ste 1W
Burlington, VT 05401-8581

Phone

(802) 341-8696

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Yannick Ledevehat

Title

Vice President Technology

Phone

(418) 561-5926

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1215817895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAIN ST STE 1W",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018581",
            "telephone_number": "802-341-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST STE 1W",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018581",
            "telephone_number": "802-341-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICENTIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "LEDEVEHAT",
        "authorized_official_first_name": "YANNICK",
        "authorized_official_title_or_position": "VICE PRESIDENT TECHNOLOGY",
        "authorized_official_telephone_number": "418-561-5926"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Hynes, MD
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• Physiological Laboratory in Burlington, VT
• Providers in Burlington, VT by specialty
• Physiological Laboratory in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.