Individual provider Active NPI

Marquita Smith, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Manvel, TX
National Provider Identifier
1790478089
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1230668 Issued in TX
Practice address
7507 Masters Rd Unit B
Manvel, TX 77578-4826
Phone
(281) 845-3301
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231758 LA
Primary Care Nurse Practitioner 363LP2300X 231758 LA
Primary Care Nurse Practitioner 363LP2300X RN149102 LA
Primary Care Nurse Practitioner 363LP2300X 1230668 TX Primary

Addresses

Primary practice location

7507 Masters Rd Unit B
Manvel, TX 77578-4826

Mailing address

11404 Tidenhaven CT
Pearland, TX 77584-2559
Phone (225) 202-9278

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
I20231201001410 LA Practitioner - Nurse Practitioner 0547618548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4451 Louisiana Hwy 1 S
Suite 5
Port Allen, LA 70767
Phone (225) 763-4852

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231758LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center CurrentSince Sep 30, 2023 Accepting new patients
Baton Rouge General Physicians, Inc. Current Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Sep 30, 2023 Accepting new patients
Grace House of Baton Rouge, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Infinity Family Clinic Family PastSince Sep 23, 2021 Accepting new patients

Locations

9800 Airline Hwy
Ste 105
Baton Rouge, LA 70816
Phone (225) 993-0486

8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

4451 Hwy 1 S
Ste 5
Port Allen, LA 70767
Phone (225) 763-4852

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1790478089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 TIDENHAVEN CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842559",
            "telephone_number": "225-202-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 MASTERS RD UNIT B",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784826",
            "telephone_number": "281-845-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARQUITA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231758",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "231758",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "RN149102",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1230668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

Verify at the official NPI Registry.