Eqilla Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1500 Lafayette St Ste 140B
Gretna, LA 70053-5762

Phone

(504) 533-9152

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Doir Medical Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gretna, LA
  • NPI 1982151684

  Mental Health (Including Community Mental Health Center)

  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1124501382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 HOUMA DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686008",
            "telephone_number": "504-259-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE ST STE 140B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535762",
            "telephone_number": "504-533-9152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Rue De Sante",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700685400",
            "country_code": "US",
            "telephone_number": "504-558-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EQILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Smith
• Aniece Nicole Smith, FNP-C
• Corlicia Smith
• D'Ana Smith, LCSW
• Davona Amari Smith
• Keiffer Ellis Smith, FNP
• Latasha Smith
• Michael B. Smith, DDS
• Shakiel Smith
• J'Nai Monique Smothers

• All providers in Gretna, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.