Individual provider Active NPI

Summer Lynn Smith, APRN

  • Family Nurse Practitioner
  • Delcambre, LA
National Provider Identifier
1295339679
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216051 Issued in LA
Practice address
506 W Highway 14
Delcambre, LA 70528-2308
Phone
(337) 385-1972
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216051 LA Primary

Addresses

Primary practice location

506 W Highway 14
Delcambre, LA 70528-2308

Mailing address

506 W Highway 14
Delcambre, LA 70528-2308
Phone (337) 685-2020

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
I20210426001144 LA Practitioner - Nurse Practitioner 2769890086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcare Medical LLCGroup PAC ID 4789808197, 3 clinicians

Practice addresses (Care Compare)

110 Curran LN
Lafayette, LA 70506-7222
Phone (337) 706-7700

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216051LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcare Medical LLC Family CurrentSince Apr 17, 2023 Accepting new patients
Southcare Medical LLC Family CurrentSince Apr 17, 2023 Accepting new patients

Locations

304 N Hospital Dr
#A
Abbeville, LA 70510
Phone (337) 385-1972

506 W Highway 14
Delcambre, LA 70528
Phone (337) 385-1972

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1295339679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W HIGHWAY 14",
            "city": "DELCAMBRE",
            "state": "LA",
            "postal_code": "705282308",
            "telephone_number": "337-685-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W HIGHWAY 14",
            "city": "DELCAMBRE",
            "state": "LA",
            "postal_code": "705282308",
            "telephone_number": "337-385-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUMMER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "216051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delcambre, LA

Sources for this page

Verify at the official NPI Registry.