JESSICA SPEARS (NPI# 1164817078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164817078 |
| Entity Type | Individual |
| Full Name | JESSICA SPEARS |
| Practice Address |
6450 Louisiana Highway 1 Innis LA 70747-4700 |
| Mailing Address |
6450 Louisiana Highway 1 Batchelor LA 70715-3212 |
| Practice Telephone | 2254923775 |
| Practice Fax Number | 2254923782 |
| Mailing Telephone | 2254923775 |
| Mailing Fax Number | 2254923782 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN118313 | LA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08282 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2396102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681412 | Jessica Anne Spears | Social Worker | 5420 Valley Run St, Hickory, NC 28601-9453 | 2016-11-03 |
| 1326676206 | Jessica Danielle Spears | Nurse Practitioner | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-03-27 |
| 1861906489 | Jessica Dawn Spears | Case Manager/Care Coordinator | 2845 Bell St, Zanesville, OH 43701-1720 | 2017-11-17 |
| 1679746663 | Jessica M Spears | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2008-04-10 |
| Street Address |
6450 LOUISIANA HIGHWAY 1 |
| City | INNIS |
| State | LA |
| Zip Code | 70747-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497596 | Lawrence C Carter | Family Medicine | 6450 Louisiana Highway 1, Innis, LA 70747-0889 | 2006-05-24 |
| 1306399712 | Krystle Danelle Chase-circello | Physician Assistant | 6450 Louisiana Highway 1, Innis, LA 70747 | 2016-08-02 |
| 1215210067 | Jenee Deshotels Wells | Social Worker | 6450 Louisiana Highway 1, Innis, LA 70747 | 2011-09-27 |
| 1740500644 | Emily F Little | Dentist | 6450 Louisiana Highway 1, Suite B, Innis, LA 70747-0889 | 2010-06-03 |
| 1467781757 | Latasha L Johnigan | Nurse Practitioner | 6450 Louisiana Highway 1, Suite B, Innis, LA 70747-0889 | 2009-12-15 |
| 1639402621 | Rochelle Bossier Chapman | Social Worker | 6450 Louisiana Highway 1, Suite B, Innis, LA 70747-0889 | 2009-09-09 |
| 1508923418 | Teryl K Emery | Dentist | 6450 Louisiana Highway 1, Innis, LA 70747-0889 | 2007-01-02 |
| 1386677102 | Leon Douglas Williams | Family Medicine | 6450 Louisiana Highway 1, Innis, LA 70747 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669712154 | Innis Pharmacy LLC | Pharmacy | 6430 La Hwy 1, Innis, LA 70747 | 2013-02-21 |
| 1427090810 | John Lindsly | Dentist | 6450 La Hwy 1, Innis, LA 70747-0089 | 2006-06-12 |
| 1467874719 | Ahlecia Nicole Haney | Nurse Practitioner | 6450 La Highway 1, Innis, LA 70747-4700 | 2014-01-06 |
| 1588077515 | Tanisha Esters | Nurse Practitioner | 6450 La Hwy 1, Suite B, Louisiana, LA 70747-4700 | 2014-06-06 |
| 1588099477 | Angelle Vosburg Whitty | Nurse Practitioner | 6450 La Hwy 1, Innis, LA 70747-4700 | 2013-09-10 |
| 1386671519 | Dedra Miller Newton | Nurse Practitioner | 6450 La Hwy 1, Innis, LA 70747-4700 | 2006-06-26 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467874719 | Ahlecia Nicole Haney | Nurse Practitioner | 6450 La Highway 1, Innis, LA 70747-4700 | 2014-01-06 |
| 1386671519 | Dedra Miller Newton | Nurse Practitioner | 6450 La Hwy 1, Innis, LA 70747-4700 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.