Susan Beth Fontaine, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-048688 Issued in AL

Practice address

750 5TH Ave E
Ua Student Health Center
Tuscaloosa, AL 35401-7421

Phone

(205) 348-6262

Fax

(205) 648-8611

NPI assigned

May 9, 2008

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)

Enrolled

Credentials

Certified Registered Nurse

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.

• Aliceville Rural Health Clinic PC

  • Rural Health Clinic/Center
  • Aliceville, AL
  • NPI 1295788784
  NPD (past)
• The Board of Trustees of the University of Alabama

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1467599399
  NPD (past)
• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1467629428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 5TH AVE E",
            "address_2": "UA STUDENT HEALTH CENTER",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017421",
            "telephone_number": "205-348-6262",
            "fax_number": "205-648-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 5TH AVE E",
            "address_2": "UA STUDENT HEALTH CENTER",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017421",
            "telephone_number": "205-348-6262",
            "fax_number": "205-648-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-048688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Fletcher, LMT
• Kimberly M Flowers
• Flowstate Physical Therapy and Injury Prevention LLC
• Focus on Senior Citizens of Tuscaloosa County, Inc.
• Penne Nelson Fondren, RN,MSN
• Ford Foot Institute
• Barbara A Ford
• Pamela Colette Ford, NP
• Robin R Ford, R.PH.
• William R Ford, MD

• Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.