William Dean Fontenot Inc.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

38458 Issued in LA

Legal business name

WILLIAM DEAN FONTENOT INC.

Practice address

1634 Elton Rd
Jennings, LA 70546-3614

Phone

(337) 616-7150

Fax

(337) 616-7164

NPI assigned

Jul 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Dean Fontenot, CRNA

Title

President

Phone

(337) 616-7150

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1073534244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAY ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464842",
            "telephone_number": "337-616-7150",
            "fax_number": "337-616-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463614",
            "telephone_number": "337-616-7150",
            "fax_number": "337-616-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DEAN FONTENOT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-616-7150",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "38458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Jennings, LA
• Providers in Jennings, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.