MRS. ELLEN FONTANA (NPI# 1649422064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649422064 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN FONTANA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4110 Guadalupe St Austin TX 78751-4296 |
| Practice Telephone | 5124192770 |
| Mailing Telephone | 5124192770 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
686654 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4110 GUADALUPE ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972411 | Eulon Ross Taylor | Psychiatry & Neurology | 4110 Guadalupe St, Austin State Hospital, Austin, TX 78751-4223 | 2005-06-17 |
| 1396359261 | Laura Adzoa Kumordzie | Nurse Practitioner | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-09-08 |
| 1154943462 | Lyndsay Brooks | Psychologist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-05-08 |
| 1427684133 | Tanya Marie Escobar | Occupational Therapist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-03-14 |
| 1821636663 | Victoria Freberg | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2019-12-11 |
| 1891272449 | Vidisha Rohit Paranjpe | Dietitian, Registered | 4110 Guadalupe St, Austin, TX 78751-4223 | 2018-07-26 |
| 1205388337 | Bayo Olaoye | Nurse Practitioner | 4110 Guadalupe St, Austin, TX 78751-4223 | 2016-10-24 |
| 1265807028 | Ann Wilson | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-12-04 |
| 1447625298 | Sara Jane Vershaw | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-12-04 |
| 1679947204 | Escania Nichole Hoyt | Registered Nurse | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848516 | Sarah Beth Wilke | Nurse Practitioner | 10244 Missel Thrush Dr, Austin, TX 78750-2137 | 2020-07-11 |
| 1023590023 | Carlos Antonio-palting Garcia | Nurse Practitioner | 8101 Cameron Rd Ste 101, Austin, TX 78754-3816 | 2018-09-05 |
| 1871008045 | Susanna Claire Perry | Nurse Practitioner | 3901 Spicewood Springs Rd # 201, Austin, TX 78759-8723 | 2017-12-09 |
| 1215441068 | Jocelyn Ybarra | Nurse Practitioner | 3000 N Ih 35 Ste 700, Austin, TX 78705-1852 | 2017-11-30 |
| 1073058145 | Kerri Nicole Hooper-thigpen | Nurse Practitioner | 14408 American Kestrel Dr, Austin, TX 78738-6520 | 2016-12-28 |
| 1114385309 | Joseph Ramuta Oleary | Nurse Practitioner | 15 Waller Street, Rbj Bldg., Austin/travis County Health & Human Services, Austin, TX 78702-5240 | 2016-02-03 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1245656057 | Michelle Richardson | Nurse Practitioner | 7610 W Highway 71 Ste F, Austin, TX 78735-8239 | 2014-03-17 |
| 1376801282 | Christina Angela Romain | Nurse Practitioner | 16219 Ranch Road 620 N, Austin, TX 78717 | 2012-04-27 |
| 1417231069 | Edna Eichler | Nurse Practitioner | 6801 River Place Blvd, Austin, TX 78726-4530 | 2011-09-30 |
| Find all providers in AUSTIN | ||||
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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.