Individual provider Active NPI

Jennifer Fontana, CNP

  • Nurse Practitioner
  • Independence, OH
National Provider Identifier
1669460432
Registry record updated May 13, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Feb 20, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP07793 Issued in OH
Practice address
6100 Rockside Woods Blvd
Suite 351
Independence, OH 44131-2366
Phone
(216) 643-2780
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP07793 OH Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd
Suite 351
Independence, OH 44131-2366

Mailing address

6100 Rockside Woods Blvd
Independence, OH 44131-2366

Other names 1

  • Jennifer Kame Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP07793OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Surgical Associates of Ohio LTD Past Accepting new patients
Psych Solutions Inc. Nurse Practitioner PastSince Apr 14, 2012 Accepting new patients
Northeast Surgical Wound Care, Inc. PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1669460432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD",
            "address_2": "SUITE 351",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP07793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KAME",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.