Individual provider Active NPI

Reney Reed Fontenot, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jennings, LA
National Provider Identifier
1295572774
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
235945 Issued in LA
Practice address
437 N Market St
Jennings, LA 70546-5857
Phone
(337) 246-7325
NPI assigned
Jul 11, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 235945 LA Primary
Registered Nurse 163W00000X 122478 LA

Addresses

Primary practice location

437 N Market St
Jennings, LA 70546-5857

Mailing address

437 N Market St
Jennings, LA 70546-5857
Phone (337) 246-7325

Other practice location 1

2651 E Napoleon St
Sulphur, LA 70663-3707
Phone (337) 625-6750

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
I20241002001659 LA Practitioner - Nurse Practitioner 0446781306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 W Port
Imcal Hsa Behavioral Health Beau
Deridder, LA 70634-4040
Phone (337) 462-1641

145 Hospital Dr
Oakdale, LA 71463-3034
Phone (337) 639-3001

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-8022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122478LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Calcasieu Human Services Authority CurrentSince Jul 22, 2024 Accepting new patients
Imperial Calcasieu Human Services Authority Current Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Jul 22, 2024 Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients

Locations

106 W Port St
Deridder, LA 70634
Phone (337) 462-1461

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

2651 E Napoleon St
Sulphur, LA 70663
Phone (337) 625-6750

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1295572774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N MARKET ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465857",
            "telephone_number": "337-246-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N MARKET ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465857",
            "telephone_number": "337-246-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 E Napoleon St",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706633707",
            "country_code": "US",
            "telephone_number": "337-625-6750",
            "fax_number": "337-625-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "RENEY",
        "middle_name": "REED",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "235945",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "122478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.