Active NPI
Tanya Fontenot
- Psychiatric/Mental Health Registered Nurse
- Lafayette, LA
National Provider Identifier
1205654621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN130284
- Practice address
- 100 General Mouton Ave
Lafayette, LA 70501-7826 - Phone
- (337) 298-9688
- Fax
- (337) 363-5079
- NPI assigned
- Oct 3, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN130284 | LA | Primary |
Addresses
Primary practice location
100 General Mouton Ave
Lafayette, LA 70501-7826
Mailing address
120 N Liberty St
Opelousas, LA 70570-5232
Phone (337) 849-1095
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 |
|---|---|---|---|
| RN130284 | LA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1205654621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N LIBERTY ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705232",
"telephone_number": "337-849-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GENERAL MOUTON AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705017826",
"telephone_number": "337-298-9688",
"fax_number": "337-363-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "LA",
"license": "RN130284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.