Active NPI
Lindsay Marie Fontenot, N.D., L.AC
- Naturopath
- Portland, OR
National Provider Identifier
1083749709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1524
- Practice address
- 1937 NE Broadway St Ste a
Portland, OR 97232-1586 - Phone
- (503) 307-9342
- Fax
- (503) 217-6200
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1524 | OR | Primary |
| Acupuncturist | 171100000X | AC01090 | OR |
Addresses
Primary practice location
1937 NE Broadway St Ste a
Portland, OR 97232-1586
Mailing address
125 NE Killingsworth St # 101
Portland, OR 97211-2625
Phone (503) 307-9342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1524 | OR | MD | Clinical Psychologist |
| AC01090 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1083749709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NE KILLINGSWORTH ST # 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972112625",
"telephone_number": "503-307-9342",
"fax_number": "503-285-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1937 NE BROADWAY ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321586",
"telephone_number": "503-307-9342",
"fax_number": "503-217-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "N.D., L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1524",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.