Shannon Lyn Fontaine, M.S.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

8341 Issued in MA

Practice address

500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142

Phone

(978) 232-0332

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1437368206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WATSON ST",
            "address_2": "#1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441528",
            "telephone_number": "401-474-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR",
            "address_2": "SUITE 3850",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156142",
            "telephone_number": "978-232-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "SHANNON",
        "middle_name": "LYN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "8341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Fleck I, MED, CAGS, LMHC, LSW
• Philip G Fleisher, LICSW
• Taryn M Flowers, NP
• Paul Neil Fluckiger, DMD
• Courtney Fogarty
• Rayna Elizabeth Fontana, LICSW
• Maria Alejandra Fontecha
• Forefront Dermatology, S.C.
• Alyssa Forgione
• Hailey Margaret Forsyth

• Pediatric Occupational Therapist in Beverly, MA
• Providers in Beverly, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.