Corey Leblanc, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055.0031397 Issued in VT

Practice address

2559 Glen Rd
Newport, VT 05855-9758

Phone

(802) 334-3364

NPI assigned

Dec 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Greensboro Hospital Assoc Inc

  • Skilled Nursing Facility
  • Greensboro, VT
  • NPI 1275514788
  NPD (past)
• Lamoille Health Partners Inc.

  • Federally Qualified Health Center (FQHC)
  • Cambridge, VT
  • NPI 1538945001
  NPD (past)

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1265777882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LEADVILLE RD",
            "city": "NEWPORT CENTER",
            "state": "VT",
            "postal_code": "058579495",
            "telephone_number": "802-272-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 GLEN RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559758",
            "telephone_number": "802-334-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Maggies Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "VT",
            "postal_code": "058418800",
            "country_code": "US",
            "telephone_number": "802-533-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "COREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0086261",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Cassidy Lawlor, MED, PT, ATC, CSCS
• Laura Leigh Lawson, M.S., LCMHC, NCC
• Deborah Leach
• Kel-Lee Christina Leamy
• Kristie Leavitt, PTA
• Fanny Letourneau
• Blake Lewis, M.A.
• Gretchen Elizabeth Lewis, LCMHC CASAC
• Victoria A Lillis, PA-C
• John A Lippmann, MD

• Physician Assistant in Newport, VT
• Providers in Newport, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.