Active NPI
Joanna Fontaine, LPN
- Licensed Practical Nurse
- Manchester, NH
National Provider Identifier
1164753869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN66503
- Practice address
- 502 Auburn St
Manchester, NH 03103-4804 - Phone
- (603) 809-9208
- Fax
- (603) 935-8216
- NPI assigned
- Jan 19, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN66503 | MA | Primary |
Addresses
Primary practice location
502 Auburn St
Manchester, NH 03103-4804
Mailing address
502 Auburn St
Manchester, NH 03103-4804
Phone (603) 809-9208
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 |
|---|---|---|---|
| LN66503 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1164753869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 AUBURN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034804",
"telephone_number": "603-809-9208",
"fax_number": "603-935-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 AUBURN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034804",
"telephone_number": "603-809-9208",
"fax_number": "603-935-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "JOANNA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN66503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.