Individual provider Active NPI

Louise Ruth Spierre, M.D

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
National Provider Identifier
1821030248
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME96886 Issued in FL
Practice address
6271 St. Augustine Road
Ufjp Pediatric and Adolescent Center
Jacksonville, FL 32207
Phone
(904) 633-0460
Fax
(904) 633-0461
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME96886 FL Primary
Pediatric Rehabilitation Medicine Physician 2081P0010X ME96886 FL

Addresses

Primary practice location

6271 St. Augustine Road
Ufjp Pediatric and Adolescent Center
Jacksonville, FL 32207

Mailing address

PO Box 44008
Ufjp Pediatric Department
Jacksonville, FL 32231-4008

Other identifiers 2

IdentifierTypeStateIssuer
277592100MedicaidFL
P00385496OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070305000668 FL Practitioner - Pediatric MedicinePractitioner - Physical Medicine and Rehabilitation 3870562440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 23, 2011 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 23, 2011 Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients
Physical Medicine Specialists, Inc. Physical Medicine & Rehabilitation Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

841 Prudential Dr
Ste 1900
Jacksonville, FL 32207
Phone (904) 427-8453

Interoperability endpoints

  • Direct secure messaging: lspierre59497@direct.shands.ufl.edu

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1821030248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PEDIATRIC DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 ST. AUGUSTINE ROAD",
            "address_2": "UFJP PEDIATRIC AND ADOLESCENT CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-633-0460",
            "fax_number": "904-633-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIERRE",
        "first_name": "LOUISE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME96886",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "FL",
            "license": "ME96886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277592100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00385496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.