Individual provider Active NPI

Angie Leblanc, FNP

  • Family Nurse Practitioner
  • Abbeville, LA
National Provider Identifier
1457773293
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07632 Issued in LA
Practice address
2419 Alonzo St
Abbeville, LA 70510-4008
Phone
(337) 892-0630
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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 AP07632 LA Primary

Addresses

Primary practice location

2419 Alonzo St
Abbeville, LA 70510-4008

Mailing address

1037 Jordan Dr
Saint Martinville, LA 70582-6252
Phone (337) 258-4067

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
I20150630000181 LA Practitioner - Nurse Practitioner 7214249531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Practice addresses (Care Compare)

2932 Ambassador Caffery Pkwy
Suite a
Lafayette, LA 70506-6756
Phone (337) 294-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07632LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes After Hours LLC CurrentSince Jul 20, 2020 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Mar 5, 2018 Accepting new patients
University Hospital & Clinics Inc CurrentSince Mar 5, 2018 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Apr 18, 2016 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Apr 18, 2016 Accepting new patients
Lourdes After Hours LLC CurrentSince Jul 20, 2020 Accepting new patients

Locations

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1700 Kaliste Saloom Rd
Bldg 2
Lafayette, LA 70508
Phone (337) 534-8346

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2932 Ambassador Caffery Pkwy
Ste A
Lafayette, LA 70506
Phone (337) 294-0900

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

Interoperability endpoints

  • Direct secure messaging: aleblanc4134908@direct.casso.us.com

Organizations & group practices 6

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1457773293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 JORDAN DR",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705826252",
            "telephone_number": "337-258-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 ALONZO ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104008",
            "telephone_number": "337-892-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ANGIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.