MS. ANTIQUA NICOLE SMART


Address: 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2975
Phone: 2253682300

MS. ANTIQUA NICOLE SMART (NPI# 1487837985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487837985
Entity Type Individual
Full Name MS. ANTIQUA NICOLE SMART
Credential APRN
Practice Address 9118 Bluebonnet Centre Blvd
Baton Rouge
LA 70809-2975
Mailing Address Po Box 82480
Baton Rouge
LA 70884-2480
Practice Telephone 2253682300
Practice Fax Number 2253682280
Mailing Telephone 2253682300
Mailing Fax Number 2253682280
Enumeration Date 2007-12-07
Last Update Date 2010-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP05288 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA APRN AP05288 01

Office Location

Street Address 9118 BLUEBONNET CENTRE BLVD
City BATON ROUGE
State LA
Zip Code 70809-2975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607420 Elidia Anne Dewitt Nurse Practitioner 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2005-05-28
1588129563 Danielle Vaccaro Mushinsky Nurse Practitioner 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2019-02-05
1275055543 Advanced Anesthesia Associates Anesthesiology 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2017-07-08
1508262437 Amisha Patel Physician Assistant 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2014-11-04
1235428806 Louisiana Mua, LLC Anesthesiology 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2011-04-04
1285936542 Donovan Matherne Nurse Practitioner 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2010-11-18
1093038341 Advanced Management Services LLC Anesthesiology 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2010-03-01
1679717136 Kelly Eaton Boussert Anesthesiology 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2009-04-28
1801044284 Mary Wood Surman Nurse Practitioner 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2993 2008-08-28
1073712618 Bianchini-frey, LLC Psychologist 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2975 2007-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619582640 Lisha Kerr Jacobsen Counselor 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 2020-09-15
1790301596 Louisiana Regenerative Medicine Center Clinic/Center 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 2020-06-18
1093337305 Sew Luxe Customs, LLC Prosthetic/Orthotic Supplier 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 2020-05-08
1366903908 Tamika Wyna Piper Counselor 11445 Reiger Road, Baton Rouge, LA 70809 2019-03-27
1548734213 Urg-hab Surgical Specialists Pain Medicine 8558 Jefferson Hwy, Baton Rouge, LA 70809 2019-01-16
1205306610 Monique West Case Manager/Care Coordinator 9441 Common Street, Suite B, Baton Rouge, LA 70809 2018-11-28
1679061618 Sara Elizabeth Nicole Altaean Massage Therapist Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-04-25
1871098921 Gary Bernard Jr. Massage Therapist 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-03-29
1619476355 De'andria Banks Behavior Technician 9150 Bareford Drive, Baton Rouge, LA 70809 2018-02-08
1427561679 Angiogenesis Medical LLC Durable Medical Equipment & Medical Supplies 8032 Summa Ave Ste D, Baton Rouge, LA 70809 2017-11-09
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578039921 Red Stick Healthcare Nurse Practitioner 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 2018-10-23
1740541200 Wound Team Nurse Practitioner 636 Lobdell Ave, Baton Rouge, LA 70806-6318 2012-05-31
1598038267 Rebecca Zeringue Hunt Nurse Practitioner 17912 Monitor Ave, Baton Rouge, LA 70817-2647 2012-02-10
1083872006 Marguerite Mary Moffatt Nurse Practitioner 12875 Scenic Hwy, Baton Rouge, LA 70807-1007 2008-05-27
1053509596 Margaret R Delaune Nurse Practitioner 3600 Florida Blvd., Baton Rouge, LA 70806 2007-10-10
1295860815 Christy Cook Perry Nurse Practitioner 4045 North Blvd Ste B, Baton Rouge, LA 70806-3830 2007-02-22
1184617623 Joyce Catherine Mire Nurse Practitioner 8585 Picardy Ave Ste 114, Hmg- Baton Rouge General, Baton Rouge, LA 70809-3679 2005-08-30
1770580060 Kirby Dwayne Humbles Nurse Practitioner 8333 Goodwood Blvd # Na, Baton Rouge, LA 70806-7744 2005-07-01
1396285821 Carrie Perry Nurse Practitioner 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 2017-03-02
1740541440 Tanisha Burrell Smith Nurse Practitioner 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2012-05-30
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Competitor

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City BATON ROUGE
Zip Code 70809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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