Active NPI
Vicki Ann Lebleu
- Psychiatric/Mental Health Nurse Practitioner
- Lake Charles, LA
National Provider Identifier
1386057891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP07785
- Practice address
- 4105 Kirkman St
Lake Charles, LA 70607-4603 - Phone
- (337) 475-8022
- NPI assigned
- Jun 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP07785 | LA | Primary |
Addresses
Primary practice location
4105 Kirkman St
Lake Charles, LA 70607-4603
Mailing address
P O Box 123977
Dept 3977
Dallas, TX 75312-3977
Phone (337) 494-2772
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Management Services of St. Landry, LLC | Current | Accepting new patients | |
| Sulphur Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Southwest Louisiana Hospital Association Inc | Current | Accepting new patients |
Locations
2020 W Pinhook Rd
Ste 204
Lafayette, LA 70508
Phone (337) 261-8781
184 Williamsburg St
Lake Charles, LA 70605
Phone (337) 437-4014
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sulphur, LA
- NPI 1548990930
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1235232786
-
- Psychiatric Hospital Unit
- Lake Charles, LA
- NPI 1679637805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1386057891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 123977",
"address_2": "DEPT 3977",
"city": "DALLAS",
"state": "TX",
"postal_code": "753123977",
"telephone_number": "337-494-2772",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 KIRKMAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074603",
"telephone_number": "337-475-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLEU",
"first_name": "VICKI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP07785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.