Active NPI
Nicole Leblanc, DVM
- Veterinarian
- Corvallis, OR
National Provider Identifier
1902189798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6464-050
- Practice address
- 700 SW 30TH Street
College of Veterinary Medicine Oregon State University
Corvallis, OR 97331 - Phone
- (541) 737-2098
- NPI assigned
- Sep 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 6464-050 | WI | Primary |
Addresses
Primary practice location
700 SW 30TH Street
College of Veterinary Medicine Oregon State University
Corvallis, OR 97331
Mailing address
700 SW 30TH Street
College of Veterinary Medicine Oregon State University
Corvallis, OR 97331
Phone (541) 737-2098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6464-050 | WI | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1902189798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SW 30TH STREET",
"address_2": "COLLEGE OF VETERINARY MEDICINE OREGON STATE UNIVERSITY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97331",
"telephone_number": "541-737-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW 30TH STREET",
"address_2": "COLLEGE OF VETERINARY MEDICINE OREGON STATE UNIVERSITY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97331",
"telephone_number": "541-737-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WI",
"license": "6464-050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.