Individual provider Active NPI

Khadijah Smith Payton, FNP

  • Family Nurse Practitioner
  • La Place, LA
National Provider Identifier
1437957156
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02250807 Issued in LA
Practice address
40 Sawgrass Dr
La Place, LA 70068-6410
Phone
(985) 628-6506
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 F02250807 LA Primary

Addresses

Primary practice location

40 Sawgrass Dr
La Place, LA 70068-6410

Mailing address

40 Sawgrass Dr
La Place, LA 70068-6410
Phone (985) 628-6506

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
I20251023004832 LA Practitioner - Nurse Practitioner 5698263200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1971 Tennessee Ave N
Parsons, TN 38363-5049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02250807LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

1050 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-0777

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424

Organizations & group practices 1

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1437957156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SAWGRASS DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686410",
            "telephone_number": "985-628-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SAWGRASS DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686410",
            "telephone_number": "985-628-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "KHADIJAH",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F02250807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.