Individual provider Active NPI

Kayla R Fontenot, M.D., OBGYN

  • Obstetrics & Gynecology Physician
  • Eunice, LA
National Provider Identifier
1366766388
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD205158 Issued in LA
Practice address
251 Moosa Blvd
Eunice, LA 70535
Phone
(337) 466-7246
Fax
(337) 466-7247
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD205158 LA Primary

Addresses

Primary practice location

251 Moosa Blvd
Eunice, LA 70535

Mailing address

PO Box 13757
Belfast, ME 04915-4028
Phone (337) 466-7246

Other identifiers 1

IdentifierTypeStateIssuer
2106511MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918000715 LA Practitioner - Obstetrics/Gynecology 1658590914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

251 Moosa Blvd
Eunice, LA 70535-3638
Phone (337) 466-7246

Hospital & facility affiliations

  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167
  • Savoy Medical Center Hospital, Mamou, LA, CCN 190025
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD205158LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward E.Graul,Jr, MD, Apmc CurrentSince Jul 31, 2022 Accepting new patients
Womens Healthcare of Acadiana LLC Obstetrics & Gynecology CurrentSince Aug 1, 2014 Accepting new patients
CLHG-Acadian, LLC Past Accepting new patients

Locations

151 Hill St
Ste 3
Eunice, LA 70535
Phone (337) 534-4356

251 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-1638

Interoperability endpoints

  • Direct secure messaging: acmkfont1@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/8739/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kayla.fontenot.1@8739.direct.athenahealth.com
  • Direct secure messaging: kfontenot1449065@direct.ochsner.org

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.

Hospital & facility affiliations 5

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1366766388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13757",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154028",
            "telephone_number": "337-466-7246",
            "fax_number": "337-466-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-466-7246",
            "fax_number": "337-466-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "KAYLA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., OBGYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD205158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106511",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.