Active NPI
Nancy Luxa-Leblanc, PA
- Surgical Physician Assistant
- Wilmington, DE
National Provider Identifier
1386611333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C5-0000596
- Practice address
- 701 N Clayton St
Medical Office BLDG 401
Wilmington, DE 19805-3165 - Phone
- (302) 421-4800
- Fax
- (302) 421-4189
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C5-0000596 | DE | Primary |
Addresses
Primary practice location
701 N Clayton St
Medical Office BLDG 401
Wilmington, DE 19805-3165
Mailing address
701 N Clayton St
Medical Office BLDG 401
Wilmington, DE 19805-3165
Phone (302) 421-4800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q41476-51006THOR | Other | BLUE SHIELD DE | |
| 2120316000 | Other | KEYSTONE | |
| 2120316000 | Other | BLUE SHIELD PC | |
| 0001001202 | Medicaid | DE | |
| 2935112 | Other | AETNA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000596 | DE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital | 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wilmington, DE
- NPI 1245343623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1386611333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N CLAYTON ST",
"address_2": "MEDICAL OFFICE BLDG 401",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053165",
"telephone_number": "302-421-4800",
"fax_number": "302-421-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N CLAYTON ST",
"address_2": "MEDICAL OFFICE BLDG 401",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053165",
"telephone_number": "302-421-4800",
"fax_number": "302-421-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUXA-LEBLANC",
"first_name": "NANCY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DE",
"license": "C5-0000596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD DE",
"identifier": "Q41476-51006THOR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2120316000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PC",
"identifier": "2120316000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001001202",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2935112",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.