Active NPI
Pamela Kay Fontenot
- Phlebotomy Technician
- Webster, TX
National Provider Identifier
1104226687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 179278 19
- Practice address
- 592 Barringer LN
Webster, TX 77598-2146 - Phone
- (832) 544-8005
- NPI assigned
- Sep 3, 2014
- Last updated
- Sep 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 179278 19 | TX | Primary |
Addresses
Primary practice location
592 Barringer LN
Webster, TX 77598-2146
Mailing address
592 Barringer LN
Webster, TX 77598-2146
Phone (832) 544-8005
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179278 19 | TX | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1104226687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 BARRINGER LN",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775982146",
"telephone_number": "832-544-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 BARRINGER LN",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775982146",
"telephone_number": "832-544-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "PAMELA",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "TX",
"license": "179278 19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.