Individual provider Active NPI

Monique Renesha Spears, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1164041869
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
336928 Issued in LA
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

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003391 LA Practitioner - Emergency MedicinePractitioner - Family Practice 6507289253 Reassigns benefits to 4 organizations

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Oakdale Ess LLCGroup PAC ID 7517289713, 26 clinicians
St Martin Emergency Group LLCGroup PAC ID 0840444683, 20 clinicians
Alexandria Ep, LLCGroup PAC ID 5991235723, 9 clinicians

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 Home health agency, Shreveport, LA, CCN 197074
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Alexandria Hospital Hospital, Alexandria, LA, CCN 190319
  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 5, 2023 Accepting new patients
Alexandria Ep, LLC CurrentSince May 29, 2025 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Medical Education Assistance Corporation Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Medical Education Assistance Corporation Family Medicine PastSince Apr 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.