MANDY A LEBLANC (NPI# 1427490648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427490648 |
| Entity Type | Individual |
| Full Name | MANDY A LEBLANC |
| Credential | N.P. |
| Practice Address |
208 Mill Rd Fairhaven MA 02719-5208 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089732661 |
| Practice Fax Number | 5089730314 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
236767 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 MILL RD |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956426 | Patricia L Andrade | Surgery | 208 Mill Rd, 2nd Floor, Fairhaven, MA 02719-5208 | 2005-07-20 |
| 1255931150 | Kristen Erin Medeiros | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-10-29 |
| 1720687965 | Keri Mossman | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-10-20 |
| 1710514708 | Emily Rochac Argueta | Surgery | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-03-27 |
| 1821529215 | Christine J Manoli | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-03-27 |
| 1700326840 | Erica Lynn Almeida | Physician Assistant | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-03-07 |
| 1437695301 | Carolyn Ariel Duncan | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-01-16 |
| 1053863126 | Sandra Hornig | Physician Assistant | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-10-25 |
| 1437608841 | Michelle R. Freitas | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-09-27 |
| 1457808024 | Hannah Bailey Raymond | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230386 | Amy Marjory Putnam | Nurse Practitioner | 200 Mill Rd Ste 120, Fairhaven, MA 02719-5252 | 2006-07-20 |
| 1255931150 | Kristen Erin Medeiros | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-10-29 |
| 1437608841 | Michelle R. Freitas | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-09-27 |
| 1912334186 | Siri Mohr | Nurse Practitioner | 206 Mill Rd, Fairhaven, MA 02719-5208 | 2013-10-03 |
| 1558794651 | Kimberly Ann Moniz | Nurse Practitioner | 200 Mill Road, Suite 180, Fairhaven, MA 02719 | 2013-08-13 |
| 1912146127 | Linda B Adelberg | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2009-02-11 |
| 1528234531 | Diane Doris Blier | Nurse Practitioner | 200 Mill Rd, Suite 120, Fairhaven, MA 02719-5252 | 2008-04-30 |
| 1861593428 | Karen Lynn Jeffrey | Nurse Practitioner | 200 Mill Rd, Suite 190, Fairhaven, MA 02719-5252 | 2006-09-26 |
| 1861411449 | Susan Wareing | Nurse Practitioner | 200 Mill Road, Suite 180, Fairhaven, MA 02719 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.