Rafael Luis Fonseca, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1089259 Issued in TX

Practice address

2300 14TH St Ste 145
Plano, TX 75074-6445

Phone

(972) 904-0812

NPI assigned

Aug 4, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Caremed NRH LLC

  • Nurse Practitioner
  • North Richland Hills, TX
  • NPI 1861228678
  NPD Authorized official
• Love Field Clinic LLC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1568160489
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1316674880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GANNON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252921",
            "telephone_number": "972-904-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "972-904-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "RAFAEL",
        "middle_name": "LUIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director@chvidasana.com",
            "affiliation": "N",
            "endpointDescription": "Corporate Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2300 14th St Ste 145",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750746445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Folashade Lester, M.D. PA
• Aaron Philip Foley, MPT
• Christopher Foley, MAT, LAT, ATC
• Jacquelynn Ward Foley, MAT, LAT, ATC
• Judy Follo, FNP-C
• David Fontane, BCBA
• Brandi Fonville, M.S., BCBA
• Dennis Foose, LPC
• Foot and Ankle Care Texas PA
• Foot Care Consultants. PA

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.