Fedia Eveline Fontaine

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN295917 Issued in GA

Practice address

9431 Waters Edge Dr
Jonesboro, GA 30236-8033

Phone

(772) 646-8373

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1467022343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 WATERS EDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 WATERS EDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368033",
            "telephone_number": "772-646-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "FEDIA",
        "middle_name": "EVELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN295917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0000000000000",
            "identifier": "000000000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Kevin Flowers, MD
• Focused Minds Education Group
• Katherine Foley, MS RD LD CDE
• Linda Foltz, PH.D.
• Dorothy A. Fondi, MS, LPC, CPCS, MAC
• Katia Antonine Forbin, MD
• Olivia Forrestel, FNP-C
• Keith Wesley Fort, PA-C
• Priscilla Tate Foster, CNA
• Fountain of Life Healthcare Agency LLC

• Critical Care Medicine Registered Nurse in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Critical Care Medicine Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.