Emily K. Leblanc, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.200775 Issued in LA

Practice address

2449 Hospital Dr Ste 300
Bossier City, LA 71111

Phone

(318) 212-7960

Fax

(318) 212-7965

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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.

• WK Spine & Pain Specialists

  • Interventional Pain Medicine Physician
  • Bossier City, LA
  • NPI 1982065645

  LA

  Medicare reassignment Care Compare group
• Gastrointestinal Specialists, a.M.C.

  • Gastroenterology Physician
  • Shreveport, LA
  • NPI 1932171725

  LA

  Medicare reassignment
• Capitol City Family Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1265548614
  NPD (past)
• WK River Cities Interventional Pain

  • Pain Medicine (Anesthesiology) Physician
  • Shreveport, LA
  • NPI 1962447052
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Spine and Pain Specialists 12 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: eleblanc1@direct.wkhs.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2021.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1457750366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 300",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111910",
            "telephone_number": "318-212-7960",
            "fax_number": "318-212-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 300",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-212-7960",
            "fax_number": "318-212-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E 70th St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055302",
            "country_code": "US",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8383 Millicent Way",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71115",
            "country_code": "US",
            "telephone_number": "318-631-9121",
            "fax_number": "318-213-6246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8383 Millicent Way",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71115",
            "country_code": "US",
            "telephone_number": "318-631-9121",
            "fax_number": "318-213-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "EMILY",
        "middle_name": "K.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.200775",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373072",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Lawson
• Christine Le, DMD
• Jeff Leach
• Leaps and Bounds Pediatric Therapy LLC
• Cristopher Leblanc, PHARMD
• Eric J Leblanc, DDS
• Justin M Leblanc, PHARM. D.
• Ju Yong Lee, DDS
• Kaitlyn Lee
• Megan Lee, MS,CCC-SLP

• All providers in Bossier City, LA
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.