MADELINE FONTAINE (NPI# 1497072060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497072060 |
| Entity Type | Individual |
| Full Name | MADELINE FONTAINE |
| Credential | LMT |
| Practice Address |
3521 Maclay Blvd S Tallahassee FL 32312-3913 |
| Mailing Address |
150 Parkbrook Cir Tallahassee FL 32301-8913 |
| Practice Telephone | 8504314872 |
| Mailing Telephone | 8502941928 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MA56297 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSS BLUESHIELD OF FLORIDA | C106Y | 01 |
| Street Address |
3521 MACLAY BLVD S |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740414192 | Jodi L Lawson | Massage Therapist | 3521 Maclay Blvd S, Tallahassee, FL 32312-3913 | 2009-05-13 |
| 1285959478 | Greg G Watterson | Naturopath | 3521 Maclay Blvd S, Tallahassee, FL 32312-3913 | 2010-03-31 |
| 1033445325 | Roxanne R. Workman | Massage Therapist | 3521 Maclay Blvd S, Tallahassee, FL 32312-3913 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710443825 | Massey Services Inc | Contractor | 2525 S Monroe St, Tallahassee, FL 32301-6395 | 2019-02-13 |
| 1073099040 | Tiara Shantae Dantley | Contractor | 762 California St, Tallahassee, FL 32304-2020 | 2018-07-12 |
| 1770075178 | Darryl Stewart | Contractor | 1608 Sequoia Dr, Tallahassee, FL 32301-2734 | 2018-05-31 |
| 1679095640 | Jaime Alphonso Mejia-escobar | Contractor | 6701 Tomy Lee Trl, Tallahassee, FL 32309-1670 | 2017-07-12 |
| 1063952067 | David Kile | Contractor | 3841 Killearn Ct Ste B, Tallahassee, FL 32309-3432 | 2017-02-24 |
| 1750631917 | Dianne Williams-cox | Contractor | 2312 Mavis Cir, Tallahassee, FL 32301-6715 | 2012-09-14 |
| 1497922512 | Renee Roberts | Contractor | 10924 Military Trl, Tallahassee, FL 32305-2515 | 2008-05-08 |
| 1144401803 | Tara A Carroll | Contractor | 1950 N Point Blvd, 516, Tallahassee, FL 32308-4168 | 2007-11-21 |
| 1609090356 | Mira Kathryn Strivelli | Contractor | 1289 Cerdar Center Dr, Tallahassee, FL 32301 | 2007-04-12 |
| 1558379529 | Keka Lanay Williams | Contractor | 1868 Rodrique Ln, Tallahassee, FL 32310-1268 | 2006-08-04 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
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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.