Active NPI
Anita Louise Leblanc, D.C.
- Chiropractor
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60389093
- Practice address
- 606 120TH Ave NE Building D Ste 100
Bellevue, WA 98005-3024 - Phone
- (425) 688-0223
- Fax
- (425) 688-0323
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60389093 | WA | Primary |
| Chiropractor | 111N00000X | 5022 | OR |
Addresses
Primary practice location
606 120TH Ave NE Building D Ste 100
Bellevue, WA 98005-3024
Mailing address
15 SW Everett Mall Way Ste G
Everett, WA 98204-2715
Phone (425) 355-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 120TH Ave NE
Suite D100
Bellevue, WA 98005-3026
Phone (425) 688-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60389093 | WA | MD | Chiropractor |
| 5022 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Functional Health Consulting, LLC | Chiropractor | Current | Accepting new patients |
| Functional Health Consulting, LLC | Chiropractor | Current | Accepting new patients |
| NW Sports Rehab, Corp. | Chiropractor | Current | Accepting new patients |
| Functional Health Consulting, LLC | Past | Accepting new patients |
Locations
606 120th Ave NE
Ste D100
Bellevue, WA 98005
Phone (425) 688-0223
606 120th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 688-0223
15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222
33400 13th Pl S
Federal Way, WA 98003
Phone (253) 838-6070
2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551
Organizations & group practices 5
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.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1871801522
-
- Rehabilitation Chiropractor
- Bellevue, WA
- NPI 1366991572
-
- Chiropractor
- Renton, WA
- NPI 1598548877
-
- Rehabilitation Chiropractor
- Everett, WA
- NPI 1619226891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861762395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SW EVERETT MALL WAY STE G",
"city": "EVERETT",
"state": "WA",
"postal_code": "982042715",
"telephone_number": "425-355-5222",
"fax_number": "425-355-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 120TH AVE NE BUILDING D STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053024",
"telephone_number": "425-688-0223",
"fax_number": "425-688-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "ANITA",
"middle_name": "LOUISE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60389093",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.