Active NPI
Jennifer Fontana, CNP
- Nurse Practitioner
- Independence, OH
National Provider Identifier
1669460432
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.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP07793
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07793 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Surgical Associates of Ohio LTD | Past | Accepting new patients | |
| Psych Solutions Inc. | Nurse Practitioner | Past | Accepting new patients |
| Northeast Surgical Wound Care, Inc. | Past | 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.
-
- Surgery Physician
- Independence, OH
- NPI 1184956138
-
- Surgery Physician
- Independence, OH
- NPI 1649215583
-
- Nurse Practitioner
- Akron, OH
- NPI 1508130097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.