Individual provider Active NPI

Michele Diane Lareau, PA-C

  • Physician Assistant
  • Williston, VT
National Provider Identifier
1902037914
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055-0031070 Issued in VT
Practice address
426 Industrial Ave Ste 130
Williston, VT 05495-4449
Phone
(802) 878-1008
Fax
(802) 652-5355
NPI assigned
Aug 7, 2009
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055-0031070 VT Primary
Physician Assistant 363A00000X 005-0030983 VT

Addresses

Primary practice location

426 Industrial Ave Ste 130
Williston, VT 05495-4449

Mailing address

426 Industrial Ave Ste 130
Williston, VT 05495-4449
Phone (802) 878-1008

Other names 1

  • Michele Diane Leduc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20091026000077 VT Practitioner - Physician Assistant 9133266075 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005-0030983VTMDPhysician Assistant
055-0031070VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chittenden Health Center Past Accepting new patients
Alder Brook Family Health P.C. PastSince Feb 8, 2015 Accepting new patients

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, 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": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1902037914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 INDUSTRIAL AVE STE 130",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954449",
            "telephone_number": "802-878-1008",
            "fax_number": "802-652-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 INDUSTRIAL AVE STE 130",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954449",
            "telephone_number": "802-878-1008",
            "fax_number": "802-652-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREAU",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0031070",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "005-0030983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "LEDUC",
            "middle_name": "DIANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.