Individual provider Active NPI

Bonnie Gayle Smith, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1053385401
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03605 Issued in LA
Practice address
200 Corporate Blvd
Suite #201
Lafayette, LA 70508-3870
Phone
(800) 893-9698
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN074262 LA
Family Nurse Practitioner 363LF0000X AP03605 LA Primary

Addresses

Primary practice location

200 Corporate Blvd
Suite #201
Lafayette, LA 70508-3870

Mailing address

906 East Weber St
Gonzales, LA 70737
Phone (225) 644-4926

Other identifiers 1

IdentifierTypeStateIssuer
1158895MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000340 LA Practitioner - Nurse Practitioner 2668544610 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10319 Jefferson Hwy
Baton Rouge, LA 70809-2730

1111 N Causeway Blvd
Mandeville, LA 70471-3409

200 Corporate Blvd
Lafayette, LA 70508-3870

229 Saint John LN
Covington, LA 70433-3276

8490 Picardy Ave
Baton Rouge, LA 70809-3733

8490 Picardy Ave
Suite 100B
Baton Rouge, LA 70809-3731

8585 Picardy Ave
Attn Medical Staff Services
Baton Rouge, LA 70809-3748

9001 Summa Ave
Suite 448
Baton Rouge, LA 70809-3726

906 E Weber St
Gonzales, LA 70737-3261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP03605LAMDFamily Nurse Practitioner
RN074262LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Urgent Care Ascension LLC CurrentSince Feb 24, 2015 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Sep 30, 2023 Accepting new patients
Total Urgent Care and Occupational Medicine CurrentSince Aug 6, 2018 Accepting new patients
Convenient Care LLC CurrentSince Feb 24, 2015 Accepting new patients
Red Stick Emergency Group LLC Nurse Practitioner CurrentSince Jul 1, 2008 Accepting new patients
Independence Emergency Group LLC Nurse Practitioner CurrentSince Jan 27, 2015 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 24, 2015 Accepting new patients
Riverside Urgent Care CurrentSince Feb 24, 2015 Accepting new patients
LCMC Urgent Care LLC CurrentSince Aug 6, 2018 Accepting new patients
Coolidge Emergency Group LLC Nurse Practitioner CurrentSince Mar 15, 2013 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince May 1, 2020 Accepting new patients
Rapid Urgent Care, Inc CurrentSince May 1, 2020 Accepting new patients
Ambassador Emergency Group LLC Nurse Practitioner CurrentSince Dec 8, 2009 Accepting new patients
Convenient Care LLC Current Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
Convenient Care LLC CurrentSince Feb 24, 2015 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Sep 30, 2023 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Past Accepting new patients
The Wellness Studio, LLC Past Accepting new patients

Locations

3604 Nicholson Dr
Baton Rouge, LA 70802
Phone (225) 831-4030

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3333 Drusilla Ln
Ste B
Baton Rouge, LA 70809
Phone (225) 924-3906

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

314 Highway 3162
Cut Off, LA 70345
Phone (985) 632-1820

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

3317 New Highway 51
La Place, LA 70068
Phone (985) 233-3317

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

107 Maryland Dr
Luling, LA 70070
Phone (504) 349-6411

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

14105 Highway 73
Ste 200
Prairieville, LA 70769
Phone (225) 588-1753

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Interoperability endpoints

  • Direct secure messaging: bsmith21155@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1053385401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 EAST WEBER ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-644-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE #201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BONNIE",
        "middle_name": "GAYLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN074262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158895",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.