Individual provider Active NPI

Latamra Tiera Smith, NP

  • Women's Health Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1659040764
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
221522 Issued in LA
Practice address
404 6TH St
Alexandria, LA 71301-8144
Phone
(318) 442-2121
Fax
(318) 442-9600
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 221522 LA
Women's Health Nurse Practitioner 363LW0102X 221522 LA Primary

Addresses

Primary practice location

404 6TH St
Alexandria, LA 71301-8144

Mailing address

404 6TH St
Alexandria, LA 71301-8144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000616 LA Practitioner - Nurse Practitioner 7911390281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1029 Capitol Ave
Crowley, LA 70526-3227
Phone (337) 788-7507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221522LAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health CurrentSince Feb 16, 2023 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Feb 16, 2023 Accepting new patients
K.F. Rabie, M.D. a Professional Medical CurrentSince Oct 28, 2021 Accepting new patients

Locations

2501 Charity St
Abbeville, LA 70510
Phone (337) 893-1443

404 6th St
Alexandria, LA 71301
Phone (318) 442-2121

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

131 City Ave
Eunice, LA 70535
Phone (337) 457-4040

220 W Willow St
Bldg A
Lafayette, LA 70501
Phone (337) 262-5616

220 W Willow St
Lafayette, LA 70501
Phone (337) 262-5616

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

715 Weldon St
#B
New Iberia, LA 70560

308 W Bloch St
Opelousas, LA 70570
Phone (337) 948-0220

303 W Port St
Saint Martinville, LA 70582
Phone (337) 394-3097

1010 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-1135

Organizations & group practices 4

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1659040764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 6TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 6TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018144",
            "telephone_number": "318-442-2121",
            "fax_number": "318-442-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATAMRA",
        "middle_name": "TIERA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "221522",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "221522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.