Natalie Nicole Fontenot, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1010243 Issued in TX

Practice address

8150 Springwood Dr # 150B
Irving, TX 75063-5810

Phone

(469) 253-5834

Fax

(469) 213-2523

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waco Functional Medicine, PAGroup PAC ID 0244416162, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Waco, TX, CCN 450042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Waco Functional Medicine, PA

  • Family Medicine Physician
  • Waco, TX
  • NPI 1093016826
  Medicare reassignment Care Compare group NPD
• Federico Maese MD PA

  dba Ferris Heart Center

  • Cardiovascular Disease Physician
  • Red Oak, TX
  • NPI 1508136052
  Medicare reassignment NPD
• GTG Enterprises, LLC

  • Family Medicine Physician
  • Waco, TX
  • NPI 1588240782
  NPD (past)
• Low T Mens Clinic LP

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1053670257
  NPD (past)
• North Texas Vario Health Center, PLLC

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1750909818
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1508467515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 SPRINGWOOD DR # 150B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635810",
            "telephone_number": "469-253-5834",
            "fax_number": "469-213-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 SPRINGWOOD DR # 150B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635810",
            "telephone_number": "469-253-5834",
            "fax_number": "469-213-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6115 Camp Bowie Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761165500",
            "country_code": "US",
            "telephone_number": "817-945-2828",
            "fax_number": "817-416-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "NATALIE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "791906",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Lee Flurry
• Sean Flynn
• FM Surgical Services
• Focus Imaging Inc (Axis Diagnostic Imaging)
• Esongnyuo Fomukong-Etta, NP
• Michael Fooshee, D.D.S.
• Paul Forbang
• Ladonna Ford, FNP-C
• Cecily Forde
• Mary Elizabeth Foret, P.T,

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.