Individual provider Active NPI

Catherine Leblanc

  • Athletic Trainer
  • Farmville, VA
National Provider Identifier
1316399694
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002027 Issued in VA
Practice address
201 High St
Longwood Athletic Department
Farmville, VA 23909-1800
Phone
(434) 395-2965
Fax
(434) 395-2964
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126002027 VA Primary

Addresses

Primary practice location

201 High St
Longwood Athletic Department
Farmville, VA 23909-1800

Mailing address

201 High St
Longwood Athletic Department
Farmville, VA 23909-1800
Phone (434) 395-2965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0126002027VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood University Past Accepting new patients

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1316399694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGH ST",
            "address_2": "LONGWOOD ATHLETIC DEPARTMENT",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239091800",
            "telephone_number": "434-395-2965",
            "fax_number": "434-395-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGH ST",
            "address_2": "LONGWOOD ATHLETIC DEPARTMENT",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239091800",
            "telephone_number": "434-395-2965",
            "fax_number": "434-395-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.