Individual provider Active NPI

Antiqua Nicole Smart, APRN-CNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1487837985
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05288 Issued in LA
Practice address
1765 Oneal LN # 109
Baton Rouge, LA 70816-1633
Phone
(225) 308-1326
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP05288 LA
Family Nurse Practitioner 363LF0000X AP05288 LA Primary

Addresses

Primary practice location

1765 Oneal LN # 109
Baton Rouge, LA 70816-1633

Mailing address

5811 Lower Zachary Rd
Zachary, LA 70791-5328
Phone (225) 937-7491

Other identifiers 1

IdentifierTypeStateIssuer
AP05288OtherLAAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260302000383 FL Practitioner - Nurse Practitioner 4880775790 Reassigns benefits to 1 organization
I20260403000589 AL Practitioner - Nurse Practitioner 4880775790 Reassigns benefits to 1 organization
Practice locations: Montgomery, AL
I20260424000293 MI Practitioner - Nurse Practitioner 4880775790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Montgomery, AL 36106
Phone (888) 668-9087

311 W Main St
New Bloomfield, PA 17068-9642

3540 Toringdon Way
Suite 200
Charlotte, NC 28277-4650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05288LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connectify Healthlink, LLC Nurse Practitioner CurrentSince Oct 21, 2025 Accepting new patients
Vitality Consultants LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

4171 Lomac St
#1153
Montgomery, AL 36106

14 NE 1st Ave
Ste 1403
Miami, FL 33132
Phone (786) 245-3212

1765 Oneal Ln
Baton Rouge, LA 70816
Phone (225) 228-9658

2870 E Grand Blvd
Ste 600
Detroit, MI 48202
Phone (231) 239-6101

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1487837985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 LOWER ZACHARY RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915328",
            "telephone_number": "225-937-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 ONEAL LN # 109",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161633",
            "telephone_number": "225-308-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "ANTIQUA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP05288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP05288",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.