Heather Ann Leblanc

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212745 Issued in NC

Practice address

5515 Glen Lakes Dr
Dallas, TX 75231

Phone

(214) 396-4463

Fax

(214) 361-4099

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1982171575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10629 LAKEMERE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-396-4463",
            "fax_number": "214-361-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75231",
            "country_code": "US",
            "telephone_number": "214-396-4463",
            "fax_number": "214-361-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "212745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "212745",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny C. Leatherwood, CNM
• Patrick J Leavey, MD
• Tyler Lebaron
• Dorian Charles Lebeau, MSW, LCSW, LISW
• Bria Vidos Leblanc, CRNA
• Jessica Shannon Leblanc, PNP-AC
• Katherine Leblanc, DMD
• Kelly Nicole Leblanc, MD
• Kirk E Leblanc, MD
• Megan Alyse Leblanc, PA-C

• Occupational Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.