Carla Kimberly Fontal

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95034270 Issued in CA

Practice address

2520 Zander Ter
North Port, FL 34286-8818

Phone

(941) 586-8160

NPI assigned

Jun 26, 2024

Last updated

Jun 18, 2025By the provider in NPPES

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

Enrolled in CA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stallant Medical Group IncGroup PAC ID 6406283845, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
• Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
• Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carla.fontal.1@11511.direct.athenahealth.com
• Direct secure messaging: carla.fontal.1@33456.direct.athenahealth.com

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

• Stallant Medical Group Inc

  • Rural Health Clinic/Center
  • Crescent City, CA
  • NPI 1366082463
  Medicare reassignment Care Compare group NPD
• Stallant Medical Group Inc

  dba Stallant Health & Wellness

  • Rural Health Clinic/Center
  • Highland, CA
  • NPI 1508683111
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Curry Health District

  dba Curry Medical Center (formerly Brookings Medical Center)

  • Critical Access Hospital Clinic/Center
  • Brookings, OR
  • NPI 1083656367
  Care Compare affiliation
• Curry Health District

  dba Curry General Hospital

  • Critical Access Hospital
  • Gold Beach, OR
  • NPI 1487696985
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence Humboldt Home Infusion

  • Home Infusion Therapy Pharmacy
  • Eureka, CA
  • NPI 1568422319

  Hospital

  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1609858950
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1891900635
  Care Compare affiliation
• Sutter Coast Hospital

  • General Acute Care Hospital
  • Crescent City, CA
  • NPI 1457367062
  Care Compare affiliation
• Sutter Coast Hospital

  dba Sutter Coast Community Clinic

  • General Practice Physician
  • Crescent City, CA
  • NPI 1700960267

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1114762739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ZANDER TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868818",
            "telephone_number": "941-586-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ZANDER TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868818",
            "telephone_number": "941-586-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAL",
        "first_name": "CARLA",
        "middle_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95034270",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9452266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Physical Therapy Specialists PA
• Florida Telehealth LLC
• Florida Woman Care, LLC
• Stephanie Folsom
• Kristy Fontaine
• Djino Forges
• Abiel Fraga
• Makayla Francis
• Tyraneisha Francis
• Rebecca Francois

• Primary Care Nurse Practitioner in North Port, FL
• Providers in North Port, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.