Cameron Clarke Fontenot, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1144552 Issued in TX

Practice address

6411 Fannin St
Houston, TX 77030-1501

Phone

(713) 704-2004

NPI assigned

Dec 21, 2023

Sex

Male

Sole proprietor

Yes

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

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1598534331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SONORA CIR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776574100",
            "telephone_number": "409-656-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-704-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Calder St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021809",
            "country_code": "US",
            "telephone_number": "409-892-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "CAMERON",
        "middle_name": "CLARKE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1144552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Nathaniel Fontenette Jr., PTA
• Deborah Ellen Fontenette, O.D.
• Rashunda Jade Fontenot-Collins, NP-C
• Alicia Fontenot
• Benjamin P Fontenot, CRNA
• Casey Elizabeth Fontenot, NP
• Charles R Fontenot Jr., LCDC
• Chevari Monet Fontenot
• Christine Lynn Fontenot, CSA
• Dustin Kyle Fontenot, CRNA

• Acute Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.