Individual provider Active NPI

Robin Ann Leblond, M.D.

  • Pediatrics Physician
  • Waterville, ME
National Provider Identifier
1871719088
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
018510 Issued in ME
Practice address
159 Silver St
Waterville, ME 04901-5813
Phone
(207) 873-5437
Fax
(207) 861-5446
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 018510 ME Primary

Addresses

Primary practice location

159 Silver St
Waterville, ME 04901-5813

Mailing address

159 Silver St
Waterville, ME 04901-5813
Phone (207) 873-5437

Other identifiers 1

IdentifierTypeStateIssuer
436290599MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209002491 ME Practitioner - Pediatric Medicine 9133512452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018510MEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waterville Pediatrics PA Pediatrics Past Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1871719088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015813",
            "telephone_number": "207-873-5437",
            "fax_number": "207-861-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015813",
            "telephone_number": "207-873-5437",
            "fax_number": "207-861-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLOND",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "018510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436290599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.