Healthcare Provider Details

I. General information

NPI: 1831072198
Provider Name (Legal Business Name): RAYCHELL RENEE SMITH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

5414 SAINT FERDINAND DR
NEW ORLEANS LA
70126-2263
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7880
  • Fax: 504-897-7885
Mailing address:
  • Phone: 504-621-0925
  • Fax: 504-621-0925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: