Brenda Renaye Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06154 Issued in LA

Practice address

402 McMillan Rd
West Monroe, LA 71291-5326

Phone

(318) 338-3540

Fax

(318) 338-3542

NPI assigned

Jul 29, 2010

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Thornton Smith Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Diagnostic CenterGroup PAC ID 1759456676, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Cardiovascular Diagnostic Center

  • Cardiovascular Disease Physician
  • West Monroe, LA
  • NPI 1497894620
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital

  dba Franklin Medical Center PSY

  • Psychiatric Hospital Unit
  • Winnsboro, LA
  • NPI 1093763526
  NPD (past)

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

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1730493966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540",
            "fax_number": "318-338-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540",
            "fax_number": "318-338-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "RENAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "SMITH",
            "middle_name": "THORNTON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Gray Skains, PT
• Caroline Ray Slaughter
• Steven Maloy Slocum, RPH
• Andrea Smalls, LPC
• Smile With Stephanie LLC
• Lanette Danielle Smith
• Michael Brandon Smith, LPC
• Nancy V Smith, M.D.
• Justin Snowden, CRNA
• John Leon Snuggs Jr., DMD

• Family Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.