Active NPI
Lisa Deshun Smart
- Family Nurse Practitioner
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09612
- Practice address
- 2913 Betin Ave
Monroe, LA 71201-7257 - Phone
- (318) 388-1250
- NPI assigned
- Dec 19, 2017
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09612 | LA | Primary |
| Family Medicine Physician | 207Q00000X | 09612 | LA |
Addresses
Primary practice location
2913 Betin Ave
Monroe, LA 71201-7257
Mailing address
4 Leslie LN
Monroe, LA 71203-2715
Phone (318) 791-0359
Other practice location 1
4 Leslie Ln
Monroe, LA 71203-2715
Phone (318) 791-0359
Other practice location 2
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2466186 | Medicaid | LA | |
| AP09612 | Other | LA | APRN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3621
420 S Vine St
Bastrop, LA 71220-4514
Phone (318) 283-3950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09612 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| Morehouse General Hospital | Single Specialty | Current | Accepting new patients |
| Brfhh Monroe LLC | Single Specialty | Current | Accepting new patients |
| Morehouse General Hospital | Current | Accepting new patients | |
| Primary Health Services Center | Past | Accepting new patients | |
| Primary Health Services Center | Past | Accepting new patients |
Locations
221 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-1133
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lisa.smart.1@29430.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1790966638
Single Specialty
-
dba Ochsner LSU Health Monroe
- Internal Medicine Physician
- Monroe, LA
- NPI 1811324882
Single Specialty
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Single Specialty
-
- Family Nurse Practitioner
- Monroe, LA
- NPI 1073376257
-
dba Morehouse Family Medicine Rural Health Clinic
- Rural Health Clinic/Center
- Bastrop, LA
- NPI 1992207294
-
dba PHSC West Monroe Family Health Center
- Federally Qualified Health Center (FQHC)
- West Monroe, LA
- NPI 1104384205
-
dba PHSC Wellness Center
- Federally Qualified Health Center (FQHC)
- Monroe, LA
- NPI 1316291495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1790291342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LESLIE LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712032715",
"telephone_number": "318-791-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 BETIN AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712017257",
"telephone_number": "318-388-1250"
}
],
"practiceLocations": [
{
"address_1": "4 Leslie Ln",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712032715",
"country_code": "US",
"telephone_number": "318-791-0359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 W Walnut Ave",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "LA",
"postal_code": "712204521",
"country_code": "US",
"telephone_number": "318-283-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMART",
"first_name": "LISA",
"middle_name": "DESHUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09612",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "09612",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2466186",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "AP09612",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.