Individual provider Active NPI

Michelle Marie Le Blanc, LMT

  • Massage Therapist
  • Metairie, LA
National Provider Identifier
1912418518
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LA2024 Issued in LA
Practice address
2007 Clearview Pkwy
Metairie, LA 70001-2404
Phone
(504) 456-9296
Fax
(504) 456-9799
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2024 LA
Massage Therapist 225700000X LA2024 LA Primary

Addresses

Primary practice location

2007 Clearview Pkwy
Metairie, LA 70001-2404

Mailing address

4612 Alexander Dr
Metairie, LA 70003-2810
Phone (504) 495-7302

Other identifiers 1

IdentifierTypeStateIssuer
MICH2012OtherLABLUE CROSS

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

LicenseStateTypeSpecialty
2024LAMDChiropractor
LA2024LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Provance Chiropractic Sports and Wellness, L.L.C. PastSince Apr 1, 2015 Accepting new patients
Provance Chiropractic Sport, Family & Rehab PastSince Dec 11, 2009 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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1912418518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 ALEXANDER DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032810",
            "telephone_number": "504-495-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012404",
            "telephone_number": "504-456-9296",
            "fax_number": "504-456-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE BLANC",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "2024",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "MICH2012",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.