Active NPI
Sara Smith
- Registered Nurse
- Keithville, LA
National Provider Identifier
1679019699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN142214
- Practice address
- 9691 Rosalie Loop
Keithville, LA 71047-6108 - Phone
- (318) 572-4856
- NPI assigned
- Jan 13, 2017
- Last updated
- Jan 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN142214 | LA | Primary |
Addresses
Primary practice location
9691 Rosalie Loop
Keithville, LA 71047-6108
Mailing address
9691 Rosalie Loop
Keithville, LA 71047-6108
Phone (318) 572-4856
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN142214 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1679019699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9691 ROSALIE LOOP",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710476108",
"telephone_number": "318-572-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9691 ROSALIE LOOP",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710476108",
"telephone_number": "318-572-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN142214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keithville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.