Dianne Fontaine

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95025486 Issued in CA

Practice address

2628 Victor Ave Ste C
Redding, CA 96002-1454

Phone

(530) 338-2090

Fax

(530) 338-2098

NPI assigned

May 18, 2023

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Kads Mental Health Nursing Services, Apc

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
  • NPI 1285529255
  Medicare reassignment NPD Authorized official
• Kads Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1649088451

  CA

  Medicare reassignment NPD
• Rolling Hills Clinic

  • Federally Qualified Health Center (FQHC)
  • Red Bluff, CA
  • NPI 1679988950
  NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1194416230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-338-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-338-2090",
            "fax_number": "530-338-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Gaylord Pkwy Apt 1317",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750356133",
            "country_code": "US",
            "telephone_number": "115-167-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adela Maria Flores-Saavedra
• Joshua Paul Fockler
• Rebecca Fogarty, MS
• Belinda Valerie Fogde, AMFT
• Michelle Folmer, LCSW
• Scott C Fontana
• Nicole E. Foote
• Holly Marie Ford
• Jennifer Lynn Forehand, ACSW
• Denise Foreman

• Psychiatric/Mental Health Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.