Individual provider Active NPI

Patrice Leblanc Hebert, FNP-C

  • Family Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1447827340
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220989 Issued in LA
Practice address
1516 Chemin Metairie Rd Ste a
Youngsville, LA 70592-2000
Phone
(337) 450-3022
Fax
(337) 450-3024
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 220989 LA Primary

Addresses

Primary practice location

1516 Chemin Metairie Rd Ste a
Youngsville, LA 70592-2000

Mailing address

1516 Chemin Metairie Rd Ste a
Youngsville, LA 70592-2000
Phone (337) 450-3022

Other identifiers 1

IdentifierTypeStateIssuer
3938456MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Broussard

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
I20210722003493 LA Practitioner - Nurse Practitioner 9032512462

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1447827340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CHEMIN METAIRIE RD STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705922000",
            "telephone_number": "337-450-3022",
            "fax_number": "337-450-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CHEMIN METAIRIE RD STE A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705922000",
            "telephone_number": "337-450-3022",
            "fax_number": "337-450-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "PATRICE",
        "middle_name": "LEBLANC",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-03-22",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3938456",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Broussard",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "104 Silverwood Dr",
            "city": "Broussard",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705187758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.