Debra Fonseca, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24231 Issued in TN

Practice address

1635 Gunbarrel Rd Ste 110
Chattanooga, TN 37421-3126

Phone

(423) 541-5102

Fax

(423) 541-5104

NPI assigned

Apr 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Delcare, PAGroup PAC ID 6103893904, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEIBCA/Endpoint/EEIBCA
• FHIR API: https://fhir4.healow.com/fhir/r4/EEIBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delcare, PA

  • Specialist
  • The Villages, FL
  • NPI 1780613950
  Medicare reassignment Care Compare group NPD
• Icmd PA

  • Internal Medicine Physician
  • Summerfield, FL
  • NPI 1962091520
  Medicare reassignment NPD
• Team Radiology Physicians, PA

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1932133675
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1073967287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 GUNBARREL RD STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213126",
            "telephone_number": "423-541-5102",
            "fax_number": "423-541-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 GUNBARREL RD STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213126",
            "telephone_number": "423-541-5102",
            "fax_number": "423-541-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11707 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344325855",
            "country_code": "US",
            "telephone_number": "352-465-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "DEBRA",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Fogo Sr., DDS
• Maria Danielle Foley, NURSE PRACTITIONER
• James Edmund Folkening, MD
• Arend Folkens, RN
• Lauren Folkens, PA-C
• Emily Fontana
• Jaimee L. Foote
• James F Foote, CRNA
• Karey Lynn Foote, PHARMD
• Cassandra Renee Ford

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.