KATIE ELIZABETH FONTAINE (NPI# 1902467533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902467533 |
| Entity Type | Individual |
| Full Name | KATIE ELIZABETH FONTAINE |
| Credential | PA-C |
| Practice Address |
707 Lassiter St Smithfield NC 27577-4613 |
| Mailing Address |
100 S 10th St Lillington NC 27546-6690 |
| Practice Telephone | 9199125160 |
| Mailing Telephone | 9108934111 |
| Mailing Fax Number | 9108939850 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0010-09144 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 S 10th St, Lillington, NC 275466690 | 9108934111 | 9108939850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841793528 | Katie Fontaine | Physical Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-09 |
| Street Address |
707 LASSITER ST |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696868 | Tara Denise Bush | Nurse Practitioner | 707 Lassiter St, Smithfield, NC 27577-4613 | 2005-11-16 |
| 1386125391 | Stacey Lynn Hogg | Nurse Practitioner | 707 Lassiter St, Smithfield, NC 27577 | 2018-08-27 |
| 1174903538 | Stephanie Pritchett | Physician Assistant | 707 Lassiter St, Smithfield, NC 27577-4613 | 2015-06-01 |
| 1881614634 | Elizabeth Ann Phalen | Family Medicine | 707 Lassiter St, Smithfield, NC 27577-4613 | 2006-07-21 |
| 1629007398 | Health Zone Pllc | Family Medicine | 707 Lassiter St, Smithfield, NC 27577-4613 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205374709 | The Raven | Family Medicine | 1652 E Booker Dairy Rd, Smithfield, NC 27577-9405 | 2017-02-03 |
| 1548465735 | Smithfield Family Practice Pa | Family Medicine | 1551 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2007-06-18 |
| 1538254388 | Steven Edward Landau | Family Medicine | 707 Wilkins St, Smithfield, NC 27577-4647 | 2006-10-04 |
| 1598877359 | Brian Keith Harris | Family Medicine | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2006-08-31 |
| 1316970908 | Raghu R Katuru | Family Medicine | 1551 Booker Dairy Rd, Smithfield, NC 27577-9472 | 2006-07-08 |
| 1669420089 | Renee G Watson | Family Medicine | 713 Wilkins St, Smithfield, NC 27577-4647 | 2006-05-05 |
| 1063472462 | Marie Luise Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | 2006-03-28 |
| 1992765531 | Todd Alma Brown | Family Medicine | 291 S Main St, Suite C, Smithfield, UT 84335-1902 | 2006-03-27 |
| 1760466841 | Donald Wayne Lundie | Family Medicine | 919 S Church St, Smithfield, VA 23430-1715 | 2005-12-02 |
| 1154305498 | Miroslav Gavazov | Family Medicine | 861 Berkshire Rd, Smithfield, NC 27577-4728 | 2005-11-30 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on KATIE ELIZABETH FONTAINE.
| 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.