Individual provider Active NPI

Dana Beth Fontenot, APRN, FNP-BC

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1174819668
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN112634-AP06478 Issued in LA
Practice address
1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303-4255
Phone
(318) 709-9051
Fax
(318) 445-1509
NPI assigned
Jun 22, 2011
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN112634-AP06478 LA Primary

Addresses

Primary practice location

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303-4255

Mailing address

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303-4255
Phone (318) 709-9051

Other identifiers 1

IdentifierTypeStateIssuer
2155822MedicaidLA

Other names 1

  • Dana Beth Fontenot Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120306000868 LA Practitioner - Nurse Practitioner 0042489155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cenla Family Medicine Associates, LLCGroup PAC ID 7517010705, 18 clinicians

Practice addresses (Care Compare)

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Family Medicine Associates, LLC Nurse Practitioner CurrentSince Aug 1, 2012 Accepting new patients

Locations

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

301 4th St
Ste 30124
Alexandria, LA 71301
Phone (318) 445-9823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1174819668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE",
            "address_2": "STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-709-9051",
            "fax_number": "318-445-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE",
            "address_2": "STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-709-9051",
            "fax_number": "318-445-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "DANA",
        "middle_name": "BETH",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN112634-AP06478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155822",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "FONTENOT",
            "middle_name": "BETH",
            "credential": "APRN FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.