Shelby Leblanc Vince, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3586 Issued in LA

Practice address

5247 Didesse Dr
Baton Rouge, LA 70808-9153

Phone

(225) 987-9102

Fax

(225) 987-9035

NPI assigned

Apr 23, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Leblanc Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1972358927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-330-0496",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 DIDESSE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089153",
            "telephone_number": "225-987-9102",
            "fax_number": "225-987-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061818",
            "country_code": "US",
            "telephone_number": "225-987-9102",
            "fax_number": "225-987-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCE",
        "first_name": "SHELBY",
        "middle_name": "LEBLANC",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "LEBLANC",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Village Kidz Wic Clinic
• Kristen Dagro Villar, NP-C
• Courtney Michael Villavasso Sr., RPH
• Jason G Villavasso
• Vasanthi Vinayagam, MD
• Vincent Nguyen M.D.
• Brad David Vincent, M.D.
• Brooke Vincent, PA
• Cameran Alden Vincent
• Curtis Vincent

• Registered Dietitian in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.