Individual provider Active NPI

Kristi L Leblanc, NP

  • Pediatric Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1336463702
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP06011 Issued in LA
Practice address
310 Gateway Dr
Suite B
Slidell, LA 70461-5540
Phone
(985) 645-8687
Fax
(985) 645-0230
NPI assigned
Mar 15, 2010
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP06011 LA Primary

Addresses

Primary practice location

310 Gateway Dr
Suite B
Slidell, LA 70461-5540

Mailing address

310 Gateway Drive
Suite B
Slidell, LA 70461-5540
Phone (985) 645-8687

Other identifiers 1

IdentifierTypeStateIssuer
1822116MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000812 LA Practitioner - Nurse Practitioner 1355472978 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana CurrentSince Mar 6, 2023 Accepting new patients
Access Health Louisiana CurrentSince Mar 6, 2023 Accepting new patients
Children's Urgent Care, LLC Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Access Health Louisiana CurrentSince Mar 6, 2023 Accepting new patients
Urgent Care for Children, PLLC Nurse Practitioner PastSince Oct 11, 2020 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana Past Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

6725 Siegen Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 612-3403

2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310

8050 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 304-2800

671 W Esplanade Ave
Kenner, LA 70065
Phone (504) 467-5900

819 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 475-9990

843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800

3663 Highway 190
Ste 10
Mandeville, LA 70471
Phone (985) 272-1396

3663 Highway 190
Ste 100
Mandeville, LA 70471
Phone (985) 272-1396

9372 Highway 165 S
Woodworth, LA 71485
Phone (318) 484-9588

Interoperability endpoints

  • Direct secure messaging: kleblanc2408293@direct.ochsner.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1336463702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GATEWAY DRIVE",
            "address_2": "SUITE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615540",
            "telephone_number": "985-645-8687",
            "fax_number": "985-645-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GATEWAY DR",
            "address_2": "SUITE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615540",
            "telephone_number": "985-645-8687",
            "fax_number": "985-645-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP06011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822116",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.