Heather Michelle Fontenot, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00401 Issued in TX

Practice address

7900 FM 1826 BLDG 2
Suite 206
Austin, TX 78737-1407

Phone

(512) 288-8200

Fax

(521) 288-8207

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rocco C Piazza MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1891013694
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1336328657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FARM TO MARKET ROAD 1826 BLDG 2",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-288-8200",
            "fax_number": "512-288-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FM 1826 BLDG 2",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-288-8200",
            "fax_number": "521-288-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "107080",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00401",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSA IDENTIFICATION NUMBER",
            "identifier": "SA00401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Fonken, R.PH.
• Chad Ryan Fontana, P.A.
• Ellen Fontana, NURSE PRACTITIONER
• Emily Elizabeth Fontana, OTR CHT
• Michael Bradley Fontanesi
• Jordan Taylor Fontenot, PT, DPT
• Kimberly Jane Fontenot, RPH
• Food Is Medicine Marketplace, LLC
• Foot Pain Relief Store LLC
• Elizabeth Foot, MPH, RDN, LDN

• Surgical Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.