Shaundra Renee Fontaine, RN, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

A-80 Issued in ID

Practice address

207 W Washington St
Boise, ID 83702-5989

Phone

(208) 343-2079

Fax

(208) 343-6828

NPI assigned

Dec 15, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, 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.

• Boise Advanced Imaging PLLC

  • Vascular & Interventional Radiology Physician
  • Boise, ID
  • NPI 1013946235
  NPD (past)
• Treasure Valley Midwives, LLC

  • Birthing Clinic/Center
  • Boise, ID
  • NPI 1790823375

  Advanced Practice Midwife

  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1619375110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "SHAUNDRA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RN, APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "A-80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LICENSE",
            "identifier": "CNM-80A",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diania Marie Folkes
• Megan Follett, RDN
• Wayland Ben Fong, MD
• Steven J Fonken, MD
• Aaron Fontaine
• Matthew Fonte, MD
• Taylor Fontenot, RN
• Tara Rachelle Fontes
• Foot Dynamics
• Betty Lynne Foote, RN

• Advanced Practice Midwife in Boise, ID
• Providers in Boise, ID by specialty
• Advanced Practice Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.