Individual provider Active NPI

Breiyon Smith, NP

  • Nurse Practitioner
  • Jefferson, LA
National Provider Identifier
1013544352
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
211872 Issued in LA
Practice address
1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone
(504) 842-2100
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 211872 LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
Jefferson, LA 70121-2429

Mailing address

PO Box 7144
Belle Chasse, LA 70037-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL, NC, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201119000919 LA Practitioner - Nurse Practitioner 1951712165 Reassigns benefits to 3 organizations
I20230126001086 AL Practitioner - Nurse Practitioner 1951712165 Reassigns benefits to 1 organization
I20240515004028 NC Practitioner - Nurse Practitioner 1951712165 Reassigns benefits to 1 organization
I20250108000705 GA Practitioner - Nurse Practitioner 1951712165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

111 C Robert E Lee Blvd
New Orleans, LA 70124-2534
Phone (504) 286-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211872LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 16, 2023 Accepting new patients
Jefferson Community Health Care Centers, Inc CurrentSince Jun 2, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 22, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 16, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Jefferson Community Health Care Centers, Inc CurrentSince Jun 2, 2025 Accepting new patients
Jefferson Community Health Care Centers, Inc Past Accepting new patients
Jefferson Community Health Care Centers Inc Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

4028 Highway 90 W
Avondale, LA 70094
Phone (504) 436-2223

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

4100 Ryan St
Lake Charles, LA 70605
Phone (337) 415-4888

7001 Lapalco Blvd
Marrero, LA 70072
Phone (504) 341-4006

7201 Lapalco Blvd
Marrero, LA 70072
Phone (504) 437-8523

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

1514 Jefferson Hwy
New Orleans, LA 70121

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: breiyon.smith.1@12324.direct.athenahealth.com
  • Direct secure messaging: bsmith149039@direct.ochsner.org

Organizations & group practices 9

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1013544352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7144",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700377144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BREIYON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "211872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.