Robert Nathan Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SMIT-IY8V6O Issued in MS

Practice address

13100 River Rd Ste 100
Destrehan, LA 70047-5216

Phone

(985) 235-0010

Fax

(985) 764-1310

NPI assigned

Sep 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Lafourche Medical Group LLCGroup PAC ID 0941529432, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lafourche Medical Group LLC

  • Urgent Care Clinic/Center
  • Raceland, LA
  • NPI 1164811790
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1376094128
  Medicare reassignment NPD
• Maxem Health Urgent Care Flowood

  • Urgent Care Clinic/Center
  • Flowood, MS
  • NPI 1174070650
  Medicare reassignment NPD
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022
  Medicare reassignment NPD
• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  Medicare reassignment NPD
• Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872
  Medicare reassignment NPD
• Picayune Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Picayune, MS
  • NPI 1780723502
  Medicare reassignment NPD
• Maxem Health Urgent Care Diberville

  • Urgent Care Clinic/Center
  • Diberville, MS
  • NPI 1265991608
  Medicare reassignment
• Gulfport 49 Imaging, LLC

  • Radiology Clinic/Center
  • Gulfport, MS
  • NPI 1134702301
  NPD
• Lafourche Medical Group LLC

  • Urgent Care Clinic/Center
  • Destrehan, LA
  • NPI 1750749263
  NPD (past)
• Maxem Health Urgent Care Slidell

  • Urgent Care Clinic/Center
  • Slidell, LA
  • NPI 1619409158
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1104430552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 RIVER RD STE 100",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475216",
            "telephone_number": "985-235-0010",
            "fax_number": "985-764-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 RIVER RD STE 100",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475216",
            "telephone_number": "985-235-0010",
            "fax_number": "985-764-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "NATHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "SMIT-IY8V6O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Joy Schroeder, PHARM.D.
• Letrece D Scott, PHARMD
• Nicole K Scott, PHARM D
• Neela Jayesh Shukla, M.D.
• Michelle B Simon
• William James Smith, PT, DPT, OCS, CSCS
• Heather Stephens, MS, L-SLP, CCC-SLP
• Larry Joe Stiger, RPH
• The Specialist Group
• Thorson Dentistry for Kids

• Family Nurse Practitioner in Destrehan, LA
• Providers in Destrehan, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.