Active NPI
Monique Renesha Spears, MD
- Family Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 336928
- Practice address
- 1460 E Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71105-5644 - Phone
- (318) 681-5580
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 336928 | LA | Primary |
Addresses
Primary practice location
1460 E Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71105-5644
Mailing address
1460 E Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71105-5644
Phone (318) 681-5580
Other practice location 1
102 E Ravine Rd
Kingsport, TN 37660-3814
Phone (423) 245-9600
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138
1460 E Bert Kouns Industrial Loop
700 Christus Primary Care Shreveport
Shreveport, LA 71105-5644
Phone (318) 681-5580
207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-0821
210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178
5900 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (713) 357-2535
7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 798-3763
Hospital & facility affiliations
- Christus Homecare Shreveport-Bossier
- Christus Shreveport-Bossier Health System
- Alexandria Hospital
- Desoto Regional Health System
- Ochsner St Martin Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Alexandria Ep, LLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Family Medicine | Past | Accepting new patients |
Locations
5900 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 386-8110
1460 E Bert Kouns Industrial Loop
Ste 700
Shreveport, LA 71105
Phone (318) 424-3291
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600
Interoperability endpoints
- mspears333585@christushealth.direct-ci.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alexandria, LA
- NPI 1396304499
-
- Emergency Medicine Physician
- Oakdale, LA
- NPI 1750785119
-
- Emergency Medicine Physician
- Breaux Bridge, LA
- NPI 1710231774
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588786768
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1619444353
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Mansfield, LA
- NPI 1467455154
-
- Home Health Agency
- Shreveport, LA
- NPI 1780105908
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1164041869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 E BERT KOUNS INDUSTRIAL LOOP STE 700",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055644",
"telephone_number": "318-681-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 E BERT KOUNS INDUSTRIAL LOOP STE 700",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055644",
"telephone_number": "318-681-5580"
}
],
"practiceLocations": [
{
"address_1": "102 E Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603814",
"country_code": "US",
"telephone_number": "423-245-9600",
"fax_number": "423-245-9634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEARS",
"first_name": "MONIQUE",
"middle_name": "RENESHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "336928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.