Active NPI
Tiffany T Leblanc, NP
- Nurse Practitioner
- Houma, LA
National Provider Identifier
1366010068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 221498
- Practice address
- 8166 Main St
Houma, LA 70360-3404 - Phone
- (985) 873-4141
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN152316 | LA | |
| Nurse Practitioner | 363L00000X | 221498 | LA | Primary |
Addresses
Primary practice location
8166 Main St
Houma, LA 70360-3404
Mailing address
8166 Main St
Houma, LA 70360-3404
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN152316 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Practice Partners | Nurse Practitioner | Current | Accepting new patients |
Locations
8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960
8166 Main St
Houma, LA 70360
Phone (800) 456-9121
Interoperability endpoints
- tguidry460911@direct.ochsner.org
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": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1366010068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8166 MAIN ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8166 MAIN ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603404",
"telephone_number": "985-873-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "TIFFANY",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN152316",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "221498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.