Active NPI
Brandy Fontenot
- Nurse Practitioner
- Lake Charles, LA
National Provider Identifier
1205425154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 219160
- Practice address
- 801 W Bayou Pines Dr
Lake Charles, LA 70601-7076 - Phone
- (337) 404-4075
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 219160 | LA | Primary |
Addresses
Primary practice location
801 W Bayou Pines Dr
Lake Charles, LA 70601-7076
Mailing address
801 W Bayou Pines Dr
Lake Charles, LA 70601-7076
Phone (337) 404-4075
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone (337) 404-4075
Hospital & facility affiliations
- Lake Charles Memorial Hospital
- Beauregard Memorial Hospital
- West Calcasieu Cameron Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great River Orthopedic and Sports Medicine Center, Inc. | Current | Accepting new patients | |
| Great River Orthopedic and Sports Medicine Center, Inc. | Current | Accepting new patients |
Locations
801 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 439-3205
1106 Port Arthur Ter
Leesville, LA 71446
Phone (337) 404-4075
376 Cocoville Rd
Mansura, LA 71350
Phone (318) 542-4821
Interoperability endpoints
- brandy.fontenot@495859721895940.direct.elationemr.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Leesville, LA
- NPI 1760887673
-
- Primary Care Clinic/Center
- Crowley, LA
- NPI 1760015721
-
- Orthopaedic Surgery Physician
- Mansura, LA
- NPI 1982224556
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1083992382
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1093719932
-
- Multi-Specialty Clinic/Center
- Sulphur, LA
- NPI 1215560974
Hospital
-
- Otolaryngology/Facial Plastic Surgery Physician
- Sulphur, LA
- NPI 1366700387
Hospital
-
- Obstetrics & Gynecology Physician
- Sulphur, LA
- NPI 1619221348
Hospital
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774137600000",
"number": "1205425154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W BAYOU PINES DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017076",
"telephone_number": "337-404-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W BAYOU PINES DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017076",
"telephone_number": "337-404-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "BRANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "219160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.