Individual provider Active NPI

Lisa Kay Smith, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1699100768
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07385 Issued in LA
Practice address
100 S 2ND St
Monroe, LA 71201-8537
Phone
(318) 322-7836
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 AP07385 LA Primary

Addresses

Primary practice location

100 S 2ND St
Monroe, LA 71201-8537

Mailing address

PO Box 899
Columbia, LA 71418-0899
Phone (318) 649-6111

Other names 1

  • Lisa Kay Sanders Former name

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
I20140224000639 LA Practitioner - Nurse Practitioner 3274576038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital, Inc.Group PAC ID 9638063944, 26 clinicians

Practice addresses (Care Compare)

411 Main St
Columbia, LA 71418-6704
Phone (318) 649-6111

PO Box
Suite 899
Columbia, LA 71418-0899

Hospital & facility affiliations

  • Caldwell Memorial Hospital, Inc Hospital, Columbia, LA, CCN 190190
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Citizens Medical Center Hospital, Columbia, LA, CCN 190184
  • Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP07385LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Mar 1, 2016 Accepting new patients
Caldwell Memorial Hospital Inc Past Accepting new patients

Locations

6619 Highway 34
Chatham, LA 71226
Phone (318) 249-2743

411 Main St
Columbia, LA 71418
Phone (318) 649-6111

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1699100768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714180899",
            "telephone_number": "318-649-6111",
            "fax_number": "318-649-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018537",
            "telephone_number": "318-322-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SANDERS",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.