Active NPI
Brandie A Smith, FNP
- Addiction Medicine (Family Medicine) Physician
- Covington, LA
National Provider Identifier
1568976413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- AP09279
- Practice address
- 201 Holiday Blvd Ste 400
Covington, LA 70433-5282 - Phone
- (504) 677-8474
- Fax
- (504) 677-8474
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 452815734 | LA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | AP09279 | LA | Primary |
Addresses
Primary practice location
201 Holiday Blvd Ste 400
Covington, LA 70433-5282
Mailing address
241 Thornwood Dr
Covington, LA 70435-0285
Phone (504) 234-0627
Other practice location 1
42570 S Airport Rd
Hammond, LA 70403-0946
Phone (985) 510-6100
Other practice location 2
19115 Florida Ave.
Suite A
Albany, LA 70711
Phone (225) 567-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208D00000X | Other | LA | ALL CLAIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1568976413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 THORNWOOD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704350285",
"telephone_number": "504-234-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD STE 400",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335282",
"telephone_number": "504-677-8474",
"fax_number": "504-677-8474"
}
],
"practiceLocations": [
{
"address_1": "42570 S Airport Rd",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704030946",
"country_code": "US",
"telephone_number": "985-510-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19115 Florida Ave.",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "LA",
"postal_code": "70711",
"country_code": "US",
"telephone_number": "225-567-7150",
"fax_number": "225-567-7120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDIE",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "452815734",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "LA",
"license": "AP09279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL CLAIMS",
"identifier": "208D00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.