Individual provider Active NPI

Linda Yvette Leblanc, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1417291964
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07056 Issued in LA
Practice address
8119 Picardy Ave
Baton Rouge, LA 70809-3515
Phone
(225) 765-3076
Fax
(225) 765-1076
NPI assigned
Nov 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07056 LA Primary

Addresses

Primary practice location

8119 Picardy Ave
Baton Rouge, LA 70809-3515

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other practice location 1

1234 Del Este Ave Ste 101
Denham Springs, LA 70726-4833
Phone (225) 667-5454

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lleblanc8124@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20130401000028 LA Practitioner - Nurse Practitioner 4688819386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

8119 Picardy Ave
Baton Rouge, LA 70809-3515
Phone (225) 765-3076

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner CurrentSince May 30, 2016 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince May 30, 2016 Accepting new patients
Jannaiah C. Tripuraneni MD LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

6516 E Myrtle Ave
Baker, LA 70714
Phone (225) 774-7320

8119 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 765-3076

8340 Baringer Foreman Rd
Baton Rouge, LA 70817
Phone (225) 275-3203

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

18180 Jefferson Hwy
Baton Rouge, LA 70817
Phone (225) 291-8474

5550 Thomas Rd
Baton Rouge, LA 70811
Phone (225) 774-2141

4250 Essen Ln
Baton Rouge, LA 70809
Phone (225) 765-3076

12525 Perkins Rd
#A
Baton Rouge, LA 70810
Phone (225) 761-4256

59315 River West Dr
#C
Plaquemine, LA 70764
Phone (225) 687-6629

Organizations & group practices 4

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": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1417291964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093515",
            "telephone_number": "225-765-3076",
            "fax_number": "225-765-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Del Este Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264833",
            "country_code": "US",
            "telephone_number": "225-667-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "LINDA",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2021-09-09",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lleblanc8124@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lleblanc8124@direct.casso.us.com",
            "address_1": "8119 Picardy Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8119 Picardy Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.