NPIMap

Individual provider Active NPI

Quintin Craig Smith, FNP-C

  • Family Nurse Practitioner
  • Jena, LA
National Provider Identifier
1629803630
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237202 Issued in LA
Practice address
3662 W Oak St
Jena, LA 71342-4474
Phone
(318) 495-2273
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 237202 LA Primary

Addresses

Primary practice location

3662 W Oak St
Jena, LA 71342-4474

Mailing address

3662 W Oak St
Jena, LA 71342-4474
Phone (318) 495-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030003455 LA Practitioner - Nurse Practitioner 3375076250 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians
DM Properties of Lafayette, LLCGroup PAC ID 8527292986, 16 clinicians
Natchitoches Parkway Clinic, LLCGroup PAC ID 2860833340, 12 clinicians

Practice addresses (Care Compare)

1110 E Saint Peter St
New Iberia, LA 70560-3932
Phone (337) 364-1166

2705 Hwy 28 E
Pineville, LA 71360-5712
Phone (318) 704-6770

3601 Jackson St Ext
Alexandria, LA 71303-3002

3601 Jackson St Extension
Alexandria, LA 71303-3002
Phone (318) 787-6877

3662 W Oak St
Jena, LA 71342-4474
Phone (318) 495-2273

5045 University Pkwy
Natchitoches, LA 71457-7156

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Walk in Clinic Inc CurrentSince Dec 29, 2025 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Sep 9, 2024 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 29, 2025 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Sep 9, 2024 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 29, 2025 Accepting new patients
Natchitoches Parkway Clinic, LLC CurrentSince Oct 30, 2024 Accepting new patients
Natchitoches Parkway Imaging, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

6011 Ambassador Caffery Pkwy
Youngsville, LA 70592
Phone (337) 234-9925

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1629803630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 W OAK ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713424474",
            "telephone_number": "318-495-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 W OAK ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713424474",
            "telephone_number": "318-495-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "QUINTIN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

Verify at the official NPI Registry.