Adrienne Lebailly, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

28537 Issued in CO

Practice address

1525 Blue Spruce Dr
Fort Collins, CO 80524-2004

Phone

(970) 498-6711

NPI assigned

Oct 11, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Larimer

  • Public Health or Welfare Agency
  • Fort Collins, CO
  • NPI 1003092131
  NPD (past)
• County of Larimer

  • Public Health or Welfare Agency
  • Estes Park, CO
  • NPI 1508401712
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457449662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242004",
            "telephone_number": "970-498-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242004",
            "telephone_number": "970-498-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAILLY",
        "first_name": "ADRIENNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "28537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01285378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Le, DPM
• Khoi Dinh Le, M.D.
• Leach Chiropractic LLC (Onehealth Chiropractic)
• Todd Anthony Leach Jr., DC
• Sellina Leafstedt
• Ryan Craig Lebaron, M.D.
• Joshua Leber, ED.S., LPC, LAC, MAC
• Kristin Leblanc, NP
• Brittannie M Lechman, MS, APRN, NNP-BC
• Christopher Leck

• Public Health & General Preventive Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Public Health & General Preventive Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.