Active NPI
Monique Martha Spears, APRN
- Family Nurse Practitioner
- Oak Brook, IL
National Provider Identifier
1952945438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209019985
- Practice address
- 1520 Kensington Rd
Ste 212
Oak Brook, IL 60523-2139 - Phone
- (888) 562-5442
- Fax
- (844) 861-1929
- NPI assigned
- Oct 29, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | N261125370 | WA | |
| Family Nurse Practitioner | 363LF0000X | 209019985 | IL | Primary |
Addresses
Primary practice location
1520 Kensington Rd
Ste 212
Oak Brook, IL 60523-2139
Mailing address
511 N Beadle Dr
Carbondale, IL 62901-1077
Phone (773) 450-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WA, TX, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019985 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
- mspears10109@direct-prd.molinahealthcare.com
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1952945438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N BEADLE DR",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011077",
"telephone_number": "773-450-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 KENSINGTON RD",
"address_2": "STE 212",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232139",
"telephone_number": "888-562-5442",
"fax_number": "844-861-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "MONIQUE",
"middle_name": "MARTHA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "N261125370",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209019985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.