Individual provider Active NPI

Roberto Rodriquez Monsanto II, NP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1417504093
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
207540 Issued in LA
Practice address
3724 Baxter St
Shreveport, LA 71109-7402
Phone
(318) 230-4499
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 207540 LA
Nurse Practitioner 363L00000X 207540 LA Primary
Family Nurse Practitioner 363LF0000X AP142698 TX

Addresses

Primary practice location

3724 Baxter St
Shreveport, LA 71109-7402

Mailing address

3724 Baxter St
Shreveport, LA 71109-7402
Phone (318) 230-4499

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026000659 LA Practitioner - Nurse Practitioner 7517387822 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207540LAMDNurse Practitioner
AP142698TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Medical of Ruston LLC CurrentSince Nov 3, 2021 Accepting new patients
A Plus Medical of Ruston LLC CurrentSince Nov 3, 2021 Accepting new patients
University Health Shreveport LLC Nurse Practitioner CurrentSince Oct 12, 2020 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Oct 12, 2020 Accepting new patients
University Health Shreveport LLC CurrentSince Oct 12, 2020 Accepting new patients
Total Health Family Medicine Past Accepting new patients

Locations

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1417504093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 BAXTER ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097402",
            "telephone_number": "318-230-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 BAXTER ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097402",
            "telephone_number": "318-230-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSANTO",
        "first_name": "ROBERTO",
        "middle_name": "RODRIQUEZ",
        "name_suffix": "II",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207540",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "207540",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.