Active NPI
Healthsmart House Calls, LLC
- Family Nurse Practitioner
- Lake Charles, LA
National Provider Identifier
1558662437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04229
- Legal business name
- HEALTHSMART HOUSE CALLS, LLC
- Practice address
- 711 Iroquoian Dr
Lake Charles, LA 70611-4940 - Phone
- (337) 905-6895
- Fax
- (337) 905-6896
- NPI assigned
- Nov 9, 2010
- Last updated
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy S Neidigh, FNP-BC
- Title
- Owner
- Phone
- (337) 905-6895
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP04229 | LA | Primary |
Addresses
Primary practice location
711 Iroquoian Dr
Lake Charles, LA 70611-4940
Mailing address
PO Box 12590
Lake Charles, LA 70612-2590
Phone (337) 905-6895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167274 | Medicaid | LA | |
| 4C709 | Other | LA | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1407374754
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1558662437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12590",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706122590",
"telephone_number": "337-905-6895",
"fax_number": "337-905-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 IROQUOIAN DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706114940",
"telephone_number": "337-905-6895",
"fax_number": "337-905-6896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSMART HOUSE CALLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "NEIDIGH",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-905-6895",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP04229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1167274",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "4C709",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Ralph M Hays, APRN
- Brenda Lynn Hazel, PHYSICAL THERAPIST
- Headache and Wellness Center of Southwest Louisiana, LLC
- Healogics Specialty Physicians of Louisiana, LLC
- Health Associates of Lake Charles
- Healthy Soles Mobile Foot Care
- Mary Mancuso Hearod, N.P.
- Heart of Hospice LLC
- Heart of Hospice of Lake Charles LLC
- Heaven Leigh Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.