Individual provider Active NPI

Marilyn Louise Smith, FNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • New Orleans, LA
National Provider Identifier
1396134169
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
AP08129 Issued in LA
Practice address
2221 Philip St
New Orleans, LA 70113-2525
Phone
(504) 620-5242
Fax
(504) 568-4667
NPI assigned
Jan 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08129 LA
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X AP08129 LA Primary

Addresses

Primary practice location

2221 Philip St
New Orleans, LA 70113-2525

Mailing address

2221 Philip St
New Orleans, LA 70113-2525
Phone (504) 620-5242

Other practice location 1

5630 Read Blvd Fl 2
New Orleans, LA 70127-3106
Phone (504) 620-5242

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
I20160412000164 LA Practitioner - Nurse Practitioner 0749588531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2221 Philip St
New Orleans, LA 70113-2525
Phone (504) 620-2863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08129LAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Family Medical Center Single Specialty Current Accepting new patients
Metropolitan Human Services District Single Specialty CurrentSince Mar 9, 2025 Accepting new patients
Metropolitan Human Services District Single Specialty CurrentSince Mar 9, 2025 Accepting new patients
Metropolitan Human Services District Single Specialty Past Accepting new patients
Metropolitan Human Services District Single Specialty Past Accepting new patients
Metropolitan Human Services District Single Specialty Past Accepting new patients

Locations

7407 Saint Bernard Hwy
#A
Arabi, LA 70032
Phone (504) 620-2863

3100 General Degaulle Dr
#H
New Orleans, LA 70114
Phone (504) 620-2863

719 Elysian Fields Ave
New Orleans, LA 70117
Phone (504) 620-2863

5630 Read Blvd
Fl 2
New Orleans, LA 70127
Phone (504) 568-3130

2221 Philip St
New Orleans, LA 70113
Phone (504) 568-6450

5640 Read Blvd
Ste 810
New Orleans, LA 70127
Phone (504) 520-2863

3100 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 535-2945

Organizations & group practices 6

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": "1421452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1396134169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PHILIP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132525",
            "telephone_number": "504-620-5242",
            "fax_number": "504-568-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PHILIP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132525",
            "telephone_number": "504-620-5242",
            "fax_number": "504-568-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5630 Read Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701273106",
            "country_code": "US",
            "telephone_number": "504-620-5242",
            "fax_number": "504-568-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARILYN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08129",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "LA",
            "license": "AP08129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.