Individual provider Active NPI

Shelley D Leblanc, WHNP

  • Women's Health Nurse Practitioner
  • Jennings, LA
National Provider Identifier
1851397020
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN075272-AP03656 Issued in LA
Practice address
1914 Johnson St
Jennings, LA 70546-3628
Phone
(337) 824-6150
Fax
(337) 824-6152
NPI assigned
Jun 22, 2005
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN075272-AP03656 LA Primary

Addresses

Primary practice location

1914 Johnson St
Jennings, LA 70546-3628

Mailing address

1914 Johnson St
Jennings, LA 70546-3628
Phone (337) 824-6150

Other identifiers 1

IdentifierTypeStateIssuer
1432377MedicaidLA

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
I20101004001322 LA Practitioner - Nurse Practitioner 1355533787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

805 State St
Jennings, LA 70546-4739
Phone (227) 824-6150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN075272-AP03656LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner American Legion Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Ochsner American Legion Hospital LLC Current Accepting new patients

Locations

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1636 Elton Rd
Ste 201
Jennings, LA 70546
Phone (337) 721-7236

805 State St
Jennings, LA 70546
Phone (337) 824-6150

Interoperability endpoints

  • Direct secure messaging: sleblanc1657055@direct.ochsner.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1851397020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463628",
            "telephone_number": "337-824-6150",
            "fax_number": "337-824-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463628",
            "telephone_number": "337-824-6150",
            "fax_number": "337-824-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "SHELLEY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN075272-AP03656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.