Madisen E Fontenot

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

343829 Issued in LA

Practice address

225 Cajundome Blvd
Lafayette, LA 70506-4271

Phone

(337) 482-6279

NPI assigned

Aug 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1083499776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CAJUNDOME BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064271",
            "telephone_number": "337-482-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CAJUNDOME BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064271",
            "telephone_number": "337-482-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "MADISEN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "343829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerwin J. Fontenot, MD
• Lauren Fontenot, M.S.CCC-SLP
• Leah S Fontenot
• Leslie Gauthier Fontenot, RD,LDN,CDE, MS
• Madeline Fontenot, LPC
• Mark Gabriel Fontenot, DDS
• Mary Alden Fontenot, CRNA
• Matthew Shane Fontenot, M.D.
• Neil Fontenot
• Penni Fontenot

• Athletic Trainer in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.