Individual provider Active NPI

Sydney Jo Leblanc, NP

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1679896955
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06058 Issued in LA
Practice address
2309 E Main St
Suite 301
New Iberia, LA 70560-4046
Phone
(337) 364-4415
Fax
(337) 364-4495
NPI assigned
Mar 1, 2010
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 AP06058 LA Primary

Addresses

Primary practice location

2309 E Main St
Suite 301
New Iberia, LA 70560-4046

Mailing address

4809 Ambassador Caffery Pkwy
Suite 110
Lafayette, LA 70508-8800
Phone (337) 235-7898

Other practice location 1

535 Jefferson Ter
New Iberia, LA 70560-4949
Phone (337) 470-4663

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
I20100319000782 LA Practitioner - Nurse Practitioner 2567597271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Sep 16, 2015 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Sep 16, 2015 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Sep 16, 2015 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Sep 16, 2015 Accepting new patients
Lsuhn Billing LLC Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

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

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

2309 E Main St
Ste 301
New Iberia, LA 70560
Phone (337) 364-4415

814 Jefferson Ter
New Iberia, LA 70560
Phone (337) 680-9902

627 E Prudhomme St
Ste 2
Opelousas, LA 70570
Phone (337) 942-7898

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1679896955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-235-7898",
            "fax_number": "337-235-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-364-4415",
            "fax_number": "337-364-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705604949",
            "country_code": "US",
            "telephone_number": "337-470-4663",
            "fax_number": "337-470-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "SYDNEY",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.