Individual provider Active NPI

Danielle Lucienne Leblanc, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1669930236
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9368714 Issued in FL
Practice address
5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122
Phone
(727) 573-7777
NPI assigned
Mar 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9368714 FL Primary

Addresses

Primary practice location

5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122

Mailing address

7577 SW 87TH Ter
Gainesville, FL 32608-8763
Phone (352) 872-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015000691 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082945563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Career Services LLCGroup PAC ID 0446643464, 30 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

26034 US Hwy 19 N
Clearwater, FL 33763-2043
Phone (727) 371-2500

3280 N McMullen Booth Rd
Suite 110
Clearwater, FL 33761-2046
Phone (727) 787-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9368714FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Career Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Tampa Bay Joint and Spine, LLC CurrentSince Mar 1, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2022 Accepting new patients

Locations

3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000

26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

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": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1669930236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 SW 87TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088763",
            "telephone_number": "352-872-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 TECH DATA DR STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603122",
            "telephone_number": "727-573-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "DANIELLE",
        "middle_name": "LUCIENNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9368714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.