Individual provider Active NPI

Courtney N Fontana, NP

  • Family Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1154956068
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014145 Issued in CA
Practice address
1801 Colorado Ave Ste 120
Turlock, CA 95382-2711
Phone
(209) 216-3468
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95014145 CA
Family Nurse Practitioner 363LF0000X 95014145 CA Primary

Addresses

Primary practice location

1801 Colorado Ave Ste 120
Turlock, CA 95382-2711

Mailing address

1801 Colorado Ave Ste 120
Turlock, CA 95382-2711
Phone (209) 216-3468

Other names 1

  • Courtney Coit Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200702001131 CA Practitioner - Nurse Practitioner 5092138453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Romeo Medical CorpGroup PAC ID 6305830720, 3 clinicians

Practice addresses (Care Compare)

1801 Colorado Ave
Suite 120
Turlock, CA 95382-2711
Phone (209) 216-3456

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014145CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo Medical Corp CurrentSince Oct 1, 2022 Accepting new patients

Locations

1801 Colorado Ave
Ste 120
Turlock, CA 95382
Phone (209) 216-3456

1801 Colorado Ave
Ste 130
Turlock, CA 95382

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1154956068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE STE 120",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822711",
            "telephone_number": "209-216-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE STE 120",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822711",
            "telephone_number": "209-216-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95014145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.