Active NPI
Andrew Jude Leblanc, DNP(C), CRNA
- Certified Registered Nurse Anesthetist
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 231769
- Practice address
- 200 Greenleaves Blvd
Mandeville, LA 70448-7018 - Phone
- (855) 300-7525
- NPI assigned
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 253383-30 | WI | |
| Registered Nurse | 163W00000X | RN147858 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 231769 | LA | Primary |
Addresses
Primary practice location
200 Greenleaves Blvd
Mandeville, LA 70448-7018
Mailing address
608 W Church St
Delcambre, LA 70528-3608
Other practice location 1
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
Other practice location 2
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AR, MN
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3110 | MN | MD | Sports Vision Optometrist |
| RN147858 | LA | MD | Registered Nurse |
| 253383-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galleria Anesthesia Associates, LLC | Current | Accepting new patients | |
| Ans Services of Arkansas PA | Current | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259
555 Dr Michael Debakey Dr
Ste 102
Lake Charles, LA 70601
Phone (337) 439-6226
200 Greenleaves Blvd
Mandeville, LA 70448
Phone (855) 300-7525
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Metairie, LA
- NPI 1962966796
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1598585242
Nurse Anesthetist, Certified Registered
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734825600000",
"number": "1225739477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 W CHURCH ST",
"city": "DELCAMBRE",
"state": "LA",
"postal_code": "705283608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GREENLEAVES BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487018",
"telephone_number": "855-300-7525"
}
],
"practiceLocations": [
{
"address_1": "1214 Coolidge Blvd",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705032621",
"country_code": "US",
"telephone_number": "337-289-7991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2810 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705065906",
"country_code": "US",
"telephone_number": "337-981-2949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBLANC",
"first_name": "ANDREW",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "DNP(C), CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "253383-30",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN147858",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "231769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.