Individual provider Active NPI

Tiffany T Leblanc, NP

  • Nurse Practitioner
  • Houma, LA
National Provider Identifier
1366010068
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221498 Issued in LA
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

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124000571 LA Practitioner - Nurse Practitioner 0941690481 Reassigns benefits to 1 organization

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
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

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

LicenseStateTypeSpecialty
RN152316LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Nurse Practitioner CurrentSince Oct 3, 2021 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.