Kimberly Spotts, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

200366 Issued in LA

Practice address

1500 Line Ave Ste 200
Shreveport, LA 71101-4643

Phone

(318) 629-5555

Fax

(318) 629-5556

NPI assigned

Sep 25, 2008

Last updated

Sep 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musculoskeletal Institute of Louisiana LLCGroup PAC ID 0143127415, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kimberly.spottspa.p1@direct.msil.nextgenshare.com

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.

• Musculoskeletal Institute of Louisiana, L.L.C.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1316957012

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1770410433
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1326298316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014643",
            "telephone_number": "318-629-5555",
            "fax_number": "318-629-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014643",
            "telephone_number": "318-629-5555",
            "fax_number": "318-629-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTS",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "200366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Innovations & Rehab, LLC (Spinal Innovations)
• Spine Institute of Louisiana LLC (Spine Institute of Louisiana)
• Shonda Knox Spires, B.S., RRT-NPS, CPFT
• William V Spires, MD
• Sportmedica, LLC
• Spring Lake Surgery Center, LLC
• Springlake Alf SCC LLC (The Gables at Spring Lake)
• Springlake SCC LLC (Spring Lake Rehabilitation Center)
• Craig R Springmeyer, MD
• Aldera Square

• Surgical Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.

Verify at the official NPI Registry.