KASEY NICOLE FONTAINE (NPI# 1164044731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164044731 |
| Entity Type | Individual |
| Full Name | KASEY NICOLE FONTAINE |
| Practice Address |
20732 Elfin Forest Rd Escondido CA 92029-3313 |
| Practice Telephone | 7606855655 |
| Mailing Telephone | 7606855655 |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20732 ELFIN FOREST RD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139739 | Chris George Taylor | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 100, Escondido, CA 92025-6428 | 2020-06-18 |
| 1871097287 | Pooja Harish Patel | Student in an Organized Health Care Education/Training Program | 2135 Firethorn Gln, Escondido, CA 92027-1152 | 2018-03-20 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| 1629524285 | Danielle Barnes | Student in an Organized Health Care Education/Training Program | 490 N Grape St., Escondido, CA 92025 | 2016-09-01 |
| 1316493653 | Elvin Klint Jamandre | Student in an Organized Health Care Education/Training Program | 490 North Grape St., Escondido, CA 92025 | 2016-08-28 |
| 1861852675 | Michelle Hackbardt | Student in an Organized Health Care Education/Training Program | 1975 Woodland Valley Gln, Escondido, CA 92026-3836 | 2016-03-07 |
| 1528408309 | Amber Suzanne Dixon | Student in an Organized Health Care Education/Training Program | 660 E Grand Ave, Escondido, CA 92025-4403 | 2013-06-26 |
| 1487811345 | Annie Marie Merkel | Student in an Organized Health Care Education/Training Program | 490 N Grape St, Escondido, CA 92025-3079 | 2008-05-19 |
| 1497817506 | Carrie Beiner Nichols | Student in an Organized Health Care Education/Training Program | 240 S Hickory St # 210, Escondido, CA 92025-4355 | 2006-12-14 |
| 1356955256 | Michael Luis Hernandez Jr. | Student in an Organized Health Care Education/Training Program | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2020-09-08 |
| Find all providers in ESCONDIDO | ||||
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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.