Alivia Fontenot (NPI# 1164989059, PAC ID# 4082954375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164989059 |
| PAC ID by PECOS | 4082954375 |
| Professional Enrollment ID | I20190325000454 |
| Full Name | Alivia Fontenot |
| Organization Legal Name | NEPHROLOGY CENTER OF EXCELLENCE LLC |
| Address |
2362 Larkspur Ln Opelousas LA 70570-8674 |
| Phone Number | 3375940675 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648545095 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| 191302 | ST MARTIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2362 Larkspur Ln, Opelousas, LA 70570-8674 | 3375940675 | NEPHROLOGY CENTER OF EXCELLENCE LLC |
| Organization Legal Name | NEPHROLOGY CENTER OF EXCELLENCE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin T Lege | Nurse Practitioner | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Matthew Theriot | Nurse Practitioner | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Chad W Rossitter | Internal Medicine | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Street Address |
2362 LARKSPUR LN |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570-8674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin T Lege | Nurse Practitioner | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Matthew Theriot | Nurse Practitioner | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Chad W Rossitter | Internal Medicine | Nephrology Center of Excellence LLC | 2362 Larkspur Ln, Opelousas, LA 70570-8674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Phillip R Bacilla Jr. | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OPELOUSAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alivia Fontenot.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.