MS. DEMISHE FONTENOT (NPI# 1154707560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154707560 |
| Entity Type | Individual |
| Full Name | MS. DEMISHE FONTENOT |
| Credential | FNP |
| Practice Address |
4801 S Cooper St Arlington TX 76017-5928 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 8178137101 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128733 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1213 E Trinity Mills Rd Ste 173, Carrollton, TX 750061446 | 9729621296 | |
| 4801 S Cooper St Ste 308, Arlington, TX 760175998 | 8175578706 | |
| 8840 Benbrook Blvd Ste 101, Benbrook, TX 761263440 | 8178137101 |
| Street Address |
4801 S COOPER ST |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245257401 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4801 S Cooper St, Arlington, TX 76017-5928 | 2006-07-16 |
| 1316547987 | Kristy Robertson | Pharmacist | 4801 S Cooper St, Arlington, TX 76017-5928 | 2020-10-31 |
| 1831799352 | Paige Miller | Pharmacist | 4801 S Cooper St, Arlington, TX 76017-5928 | 2020-10-26 |
| 1265891253 | Robin Hughes | Optometrist | 4801 S Cooper St, Ste. 1801, Arlington, TX 76017-5928 | 2016-02-18 |
| 1619384690 | Wal-mart Stores Texas, LLC | Nurse Practitioner | 4801 S Cooper St, Arlington, TX 76017-5928 | 2014-07-22 |
| 1346587680 | Georgena D Wiley | Registered Nurse | 4801 S Cooper St, Arlington, TX 76017-5928 | 2013-01-07 |
| 1407096985 | Sonie Family Eyecare Pllc | Clinic/Center | 4801 S Cooper St, Arlington, TX 76017-5928 | 2009-02-24 |
| 1295811453 | Wal-mart Stores Texas, Lp | Technician/Technologist | 4801 S Cooper St, Arlington, TX 76017-5928 | 2006-10-31 |
| 1437263647 | Evelyn Okah Ayidu-omo | Optometrist | 4801 S Cooper St, Arlington, TX 76017-5928 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912576 | Elizabeth Ngoc Pham | Nurse Practitioner | 1502 Grey Willow Ln, Arlington, TX 76002-4631 | 2020-11-02 |
| 1609474063 | Donica West | Nurse Practitioner | 1301 E Bardin Rd Unit 181591, Arlington, TX 76096-4263 | 2020-10-16 |
| 1487268108 | Celyn Iyoke | Nurse Practitioner | 8124 Stowe Springs Ln, Arlington, TX 76002-3775 | 2020-08-31 |
| 1225641558 | Nadia Winston | Nurse Practitioner | 616 Matlock Centre Cir, Arlington, TX 76015-2536 | 2020-08-26 |
| 1205453958 | Lewis Nchoga Nyantika | Nurse Practitioner | 715 N Fielder Rd Ste C, Arlington, TX 76012-4695 | 2020-06-29 |
| 1447874102 | Friday Uhunoma Aigbedion | Nurse Practitioner | 1201 N Watson Rd Ste 268, Arlington, TX 76006-6222 | 2020-05-29 |
| 1063049625 | Mission Metroplex, Inc. | Nurse Practitioner | 212 W South St, Arlington, TX 76010-7134 | 2020-03-24 |
| 1427688381 | Rebecca Baker | Nurse Practitioner | 103 S Mesquite St Ste B, Arlington, TX 76010-1132 | 2020-01-20 |
| 1891325023 | Qutavia Shanay Winding | Nurse Practitioner | 3211 W Division St Trlr 73, Arlington, TX 76012-3478 | 2020-01-15 |
| 1730728403 | Weight Away Health and Wellness | Nurse Practitioner | 1015 Gibbins Rd Ste C, Arlington, TX 76011-5615 | 2019-12-30 |
| Find all providers in ARLINGTON | ||||
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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.