NPIMap

Individual provider Active NPI

Donald B Smith, NP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1407842644
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AO04282 Issued in LA
Practice address
1800 Buckner St
Suite C120
Shreveport, LA 71101-4440
Phone
(318) 227-8899
Fax
(318) 425-3793
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AO04282 LA Primary

Addresses

Primary practice location

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440

Mailing address

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440
Phone (318) 227-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000034 LA Practitioner - Nurse Practitioner 8123915741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Louisiana Nephrology, LLCGroup PAC ID 7911996509, 24 clinicians

Practice addresses (Care Compare)

1800 Buckner St
Shreveport, LA 71101-4453
Phone (318) 227-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO04282LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Louisiana Nephrology, LLC CurrentSince Feb 7, 2005 Accepting new patients
Shah Medical Group Apmc PastSince Oct 1, 2003 Accepting new patients
Internal Medical Associates of Doctors Hospital Past Accepting new patients
Lifecare Hospitals LLC Past Accepting new patients

Locations

1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899

1800 Buckner St
Shreveport, LA 71101
Phone (318) 222-1149

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

Interoperability endpoints

  • Direct secure messaging: donaldsmith@nln.allscriptsdirect.net

Organizations & group practices 4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1407842644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-425-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-425-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AO04282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.