Individual provider Active NPI

Brooke Leigh Smith, RN, BSN

  • School Registered Nurse
  • Denham Springs, LA
National Provider Identifier
1629682372
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN121965 Issued in LA
Practice address
12555 Brown Rd
Denham Springs, LA 70726-6931
Phone
(225) 665-4079
Fax
(225) 665-5248
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN121965 LA Primary

Addresses

Primary practice location

12555 Brown Rd
Denham Springs, LA 70726-6931

Mailing address

12555 Brown Rd
Denham Springs, LA 70726-6931
Phone (225) 665-4079

Other identifiers 1

IdentifierTypeStateIssuer
14276OtherSCHOOL NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lpsb.org Direct

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN121965LAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1629682372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 BROWN RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266931",
            "telephone_number": "225-665-4079",
            "fax_number": "225-665-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 BROWN RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266931",
            "telephone_number": "225-665-4079",
            "fax_number": "225-665-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROOKE",
        "middle_name": "LEIGH",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "RN121965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL NURSE",
            "identifier": "14276",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lpsb.org",
            "affiliation": "N",
            "endpointDescription": "school",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12555 Brown Rd",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.