Meghan Cassidy Fontaine, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028123 Issued in CA

Practice address

450 Sutter St RM 2303
San Francisco, CA 94108-4201

Phone

(415) 434-8858

Fax

(415) 434-8004

NPI assigned

Oct 27, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1538823398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SWIFT CT",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412223",
            "telephone_number": "978-895-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084201",
            "telephone_number": "415-434-8858",
            "fax_number": "415-434-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "MEGHAN",
        "middle_name": "CASSIDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95227235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willy Tuen Fong, PHARM.D.
• Alexandra Irene Fonseca, DC
• Aura Michelle Fonseca, ASW
• Maria Lorraine Fonseca
• Lakshan Nicholas Fonseka, DO
• Melinda Fontaine, DPT
• Michael Anthony Fontana, DC
• Fraser Allen Fontane
• Rina Fontanilla
• Sophia Fontano

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.