Individual provider Active NPI

Danielle Kathleen Smyth, FNP-C

  • Family Nurse Practitioner
  • Leesville, LA
National Provider Identifier
1710699129
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205647 Issued in LA
Practice address
1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone
(337) 404-4075
Fax
(337) 446-2548
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 205647 LA Primary

Addresses

Primary practice location

1106 Port Arthur Ter
Leesville, LA 71446-4643

Mailing address

1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone (337) 404-4075

Other practice location 1

376 Cocoville Rd
Mansura, LA 71350-4264
Phone (318) 542-4821

Other practice location 2

801 W Bayou Pines Dr
Lake Charles, LA 70601-7076
Phone (337) 549-7770

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
I20230508000840 LA Practitioner - Nurse Practitioner 1456716877 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians
Kisatchie Emergency Group LLCGroup PAC ID 9537400270, 19 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Hospital of Many,LLC CurrentSince Apr 7, 2024 Accepting new patients
CLHG-Leesville CurrentSince Jun 24, 2024 Accepting new patients
Kisatchie Emergency Group, LLC Nurse Practitioner CurrentSince Dec 21, 2025 Accepting new patients
Allegiance Hospital of Many, LLC CurrentSince Apr 7, 2024 Accepting new patients
Glen D. Hurlston, M.D., Apmc CurrentSince Feb 1, 2025 Accepting new patients
Allegiance Hospital of Many, LLC Current Accepting new patients
Great River Orthopedic and Sports Medicine Center, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Byrd Medical Clinic Inc CurrentSince May 26, 2024 Accepting new patients
CLHG-Leesville CurrentSince Jun 24, 2024 Accepting new patients
Great River Orthopedic and Sports Medicine Center, Inc. CurrentSince Jan 17, 2023 Accepting new patients

Locations

801 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 439-3205

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

1106 Port Arthur Ter
Leesville, LA 71446
Phone (337) 404-4075

376 Cocoville Rd
Mansura, LA 71350
Phone 3185424821310

12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

Organizations & group practices 10

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 1

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1710699129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464643",
            "telephone_number": "337-404-4075",
            "fax_number": "337-446-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464643",
            "telephone_number": "337-404-4075",
            "fax_number": "337-446-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Cocoville Rd",
            "address_purpose": "LOCATION",
            "city": "Mansura",
            "state": "LA",
            "postal_code": "713504264",
            "country_code": "US",
            "telephone_number": "318-542-4821",
            "fax_number": "337-446-2548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Bayou Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017076",
            "country_code": "US",
            "telephone_number": "337-549-7770",
            "fax_number": "337-446-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "DANIELLE",
        "middle_name": "KATHLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "205647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.